DR. PATRICK JOSEPH WALLACE (NPI# 1740219369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740219369 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JOSEPH WALLACE |
| Credential | M.D. |
| Practice Address |
1315 St Joseph Pkwy Suite 1800 Houston TX 77002-8233 |
| Practice Telephone | 7136523161 |
| Practice Fax Number | 7136523810 |
| Mailing Telephone | 7136523161 |
| Mailing Fax Number | 7136523810 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | J7243 | TX | Allopathic & Osteopathic Physicians |
| X | 2086X0206X |
Surgery Specialization: Surgical Oncology |
J7243 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 8S4802 | 01 |
| MEDICARE RAILROAD | P00229401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376184408 | Patrick Wallace | Counselor | 4104 Delta St, San Diego, CA 92113-4113 | 2019-09-30 |
| 1285131474 | Patrick Wallace | Student in an Organized Health Care Education/Training Program | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2018-04-12 |
| 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 |
| 1508857053 | Patrick L Wallace | Dentist | 1119 Walnut Dr, Suite 2, Ardmore, OK 73401-2360 | 2005-11-03 |
| Street Address |
1315 ST JOSEPH PKWY SUITE 1800 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960178 | Lawrence G Root | Psychiatry & Neurology | 1315 St Joseph Pkwy, Ste 1500, Houston, TX 77002-8237 | 2005-05-27 |
| 1134726060 | Lynk Well Spring Services Inc. | Counselor | 1315 St Joseph Pkwy, Houston, TX 77002-8233 | 2020-10-04 |
| 1073027702 | Patrick W Wills Md Pa | Internal Medicine | 1315 St Joseph Pkwy, Houston, TX 77002-8233 | 2017-11-16 |
| 1790168102 | Bryan Hermann | Reflexologist | 1315 St Joseph Pkwy, Suite 301, Houston, TX 77002-8233 | 2015-07-02 |
| 1609268960 | The Center for Womens Sexual Health, Inc | Obstetrics & Gynecology | 1315 St Joseph Pkwy, Suite 1306, Houston, TX 77002-8233 | 2015-02-24 |
| 1487045605 | Yanira Bautista | Nurse Practitioner | 1315 St Joseph Pkwy, Suite 1309, Houston, TX 77002-8233 | 2015-02-10 |
| 1578993622 | Tracy Okolo | Pharmacist | 1315 St Joseph Pkwy, Suite 1400, Houston, TX 77002-8233 | 2013-11-26 |
| 1285069013 | Sarah Eiband Gerber | Social Worker | 1315 St Joseph Pkwy, Houston, TX 77002-8233 | 2013-09-11 |
| 1295078335 | Funmilayo Aina | Registered Nurse | 1315 St Joseph Pkwy, Houston, TX 77002-8233 | 2013-03-27 |
| 1003156134 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1315 St Joseph Pkwy, Houston, TX 77002-8233 | 2013-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1033775689 | Richard Harold Lynch | Surgery | 842 Country Ln, Houston, TX 77024-3106 | 2019-05-18 |
| 1629632260 | Vein Clinics of Texas | Surgery | 2024 Richmond Ave Ste 300, Houston, TX 77098-3424 | 2019-04-29 |
| 1063982080 | International Center for Neuroscience | Surgery | 4141 Southwest Fwy Ste 200, Houston, TX 77027-7387 | 2018-12-03 |
| 1245709344 | Mgh Surgical Care Pllc | Surgery | 10130 Louetta Rd Ste A-2, Houston, TX 77070-2118 | 2018-11-19 |
| 1275039521 | Courtney Olsen | Surgery | 1603 Tabor St, Houston, TX 77009-2516 | 2018-04-04 |
| 1972002525 | L Camp LLC | Surgery | 1725 Main St Ste 2, Houston, TX 77002-8142 | 2018-02-09 |
| 1184122939 | Nh Provider Network Pllc | Surgery | 11700 Katy Fwy Ste 300, Houston, TX 77079-1218 | 2018-01-26 |
| 1871008961 | Principle Spine and Joint Institute | Surgery | 16840 Buccaneer Ln Ste J, Houston, TX 77058-2507 | 2017-12-11 |
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| 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.