Erin Elizabeth Wallace
M.D. | Pediatrics | Female
Erin Elizabeth Wallace, M.D. is a Mansfield, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Erin Elizabeth Wallace is
252 Matlock Rd Ste 330, Mansfield, Texas - 76063-4294. She can be contacted on phone at
817-557-5437 and fax number 817-539-0476.
Erin Elizabeth Wallace is a sole proprietor of her business.
NPI number (Unique professional ID) for Erin Elizabeth Wallace is
1396952263 which was assigned by NPPES on 17 May, 2007 and it was last updated on 04 Nov, 2019.
Erin Elizabeth Wallace license number is
M9077 for Pediatrics (208000000X) in Texas.
Erin Elizabeth Wallace is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Erin Elizabeth Wallace basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Erin Elizabeth Wallace |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Erin Elizabeth Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 252 Matlock Rd Ste 330
Mansfield, TX, 76063-4294
United States |
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| Phone Number : | 817-557-5437 |
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| Fax Number : | 817-539-0476 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396952263 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2007 |
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| Last Updated On : | 04 Nov, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Erin Elizabeth Wallace are as mentioned. Primary taxonomy code for Erin Elizabeth Wallace, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M9077 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Erin Elizabeth Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 197051902 | MEDICAID | TX | |
| 195476005 | MEDICAID | TX | |
| 197051904 | MEDICAID | TX | |
| 084933301 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 252 Matlock Rd Ste 330
Mansfield, TX, 76063-4294
United States |
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| Phone Number : | 817-557-5437 |
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| Fax Number : | 817-539-0476 |
|---|
Business Location:
Patients can refer following map for directions to
Erin Elizabeth Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.