Search › Texas › 207Q00000X
Mikaela Wallace, MD
NPI 1992298467 · on the registry since 2018
Practice
- Address
- 7301 Milwaukee Ave
Lubbock, TX 79424 - Phone
- (806) 761-0464
- Fax
- (806) 698-6710
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-25
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 Texas