DR. PATRICK WALLACE


Address: 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826
Phone: 7023837885

DR. PATRICK WALLACE (NPI# 1285131474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285131474
Entity Type Individual
Full Name DR. PATRICK WALLACE
Credential DO
Practice Address 901 Rancho Ln Ste 135
Las Vegas
NV 89106-3826
Practice Telephone 7023837885
Practice Fax Number 7023838235
Mailing Telephone 7023837885
Mailing Fax Number 7023838235
Enumeration Date 2018-04-12
Last Update Date 2018-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers PATRICK WALLACE

NPI Name Taxonomy Address Enumeration
1376184408 Patrick Wallace Counselor 4104 Delta St, San Diego, CA 92113-4113 2019-09-30
1477846020 Patrick Albert Wallace II Technician, Other 4801 Reading St, Dallas, TX 75247-6716 2011-05-16
1427294875 Patrick Wallace Physical Therapist 2027 Pulaski Hwy, Havre De Grace, MD 21078-2143 2009-01-06
1598825002 Patrick J Wallace Physician Assistant 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 2006-12-12
1740219369 Patrick Joseph Wallace Surgery 1315 St Joseph Pkwy, Suite 1800, Houston, TX 77002-8233 2006-07-03
1508857053 Patrick L Wallace Dentist 1119 Walnut Dr, Suite 2, Ardmore, OK 73401-2360 2005-11-03

Office Location

Street Address 901 RANCHO LN STE 135
City LAS VEGAS
State NV
Zip Code 89106-3826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982816989 Nathan J Cleveland Emergency Medicine 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2007-05-04
1013545433 William Chase Madsen Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-31
1447888219 Lillian Paige Harry Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-29
1609404425 Jared Miya Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-28
1689202434 Jerad Dane Eldred Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-28
1770111619 Jason Martinez Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-27
1043847585 Joel Harris Schirding Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-25
1346877917 Ahmad Ahssan Nezam Student in an Organized Health Care Education/Training Program 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2020-03-24
1669010260 Van Nguyen Physician Assistant 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2019-12-13
1881232429 Michael Choi Physician Assistant 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 2019-12-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417555772 Graciela Miranda Cocorpio Technician 820 Rancho Ln Suite #40, Las Vegas, NV 89106 2020-10-09
1679101679 A Better You Wellness Center Counselor 320 W Monroe Street, Las Vegas, NV 89106 2020-03-27
1730725177 Mariah La'neese Jones Rehabilitation Practitioner 400 Shadow Lane Ste 106, Las Vegas, NV 89106 2019-11-20
1417592841 Lourdes Rita Apumayta-paredes Technician 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 2019-11-08
1902456551 Marisela Pena Technician 820 Rancho Ln., 25, Las Vegas, NV 89106 2019-09-16
1992368724 Amber Nicole Mahajan Nurse Practitioner 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 2019-04-17
1568924215 Arlandrea Tarvins Behavioral Analyst 1048 Miller Ave, Las Vegas, NV 89106 2019-04-02
1427510361 Erik Pennell Student in an Organized Health Care Education/Training Program 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 2019-04-01
1245702729 Bruce Mark Babb Technician 820 Rancho Lane Ste #40, Las Vegas, NV 89106 2018-12-21
1639649213 Antonio Ruiz Pelfort Technician 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 2018-11-27
Find all providers in zip 89106

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906440 David Hernandez Student in an Organized Health Care Education/Training Program 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 2020-09-10
1710591110 Jessica Celestino Student in an Organized Health Care Education/Training Program 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 2020-09-02
1972127314 Toyokazu Endo Student in an Organized Health Care Education/Training Program 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 2020-06-01
1962025775 William Taylor Gravley Student in an Organized Health Care Education/Training Program 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 2020-05-27
1477174449 Vishnu Halthore Student in an Organized Health Care Education/Training Program 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 2020-05-01
1417576869 Jesus Mendez Jr. Student in an Organized Health Care Education/Training Program 10962 Pentland Downs St, Las Vegas, NV 89141-3997 2020-04-15
1124657333 Daniel Gerardo Arias Student in an Organized Health Care Education/Training Program 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 2020-04-08
1659900959 Connor Wayman Student in an Organized Health Care Education/Training Program 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 2020-04-07
1700413887 Sameera Baig Student in an Organized Health Care Education/Training Program 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 2020-03-26
1457988537 Wesley Washington Yim Student in an Organized Health Care Education/Training Program 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 2020-03-26
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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