Brian Wallace, NP
Brian Wallace, NP is a Nurse Practitioner in Tyler, Texas. Qualified in 2007, 19 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.
- Years since qualifying
- 19
- Licensed in
- CO
- In the registry since
- 2007
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
1910 Roseland BlvdTyler, TX 75701-4246
Phone: (903) 533-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence RN 169685C (CO) |
|---|
Record details
| NPI number | 1457561615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | March 12, 2010 |
| Mailing address | 1910 Roseland Blvd, Tyler, TX 75701-4246 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Intermountain Medical Group Denver Llc — 567 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Tyler
-
Holly Johnson Ltc, PLLC
5505 New Copeland Rd, Tyler, TX 75703-3955 · (903) 705-0202
-
Rendall Northcutt, FNP
11937 US Highway 271, Tyler, TX 75708-3154 · (903) 877-7200
-
Neena Oommen Panicker
11937 US Highway 271, Tyler, TX 75708-3154 · (903) 877-7200
-
Mrs. Robin Villena, ARPN
2323 W Frnt ST, Tyler, TX 75702-7747 · (903) 535-7355