Search › New Mexico › 207Q00000X
Haily Wallace, MD
NPI 1679839534 · on the registry since 2012
Practice
- Address
- 402 E Miel De Luna Ave
Pmg At Dr Dan C Trigg Memorial Hospital
Tucumcari, NM 88401 - Phone
- (575) 461-7100
- Fax
- (575) 461-7101
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico