Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mikaela Wallace, MD

Individual provider Family Medicine Physician · NPI 1992298467

Dr. Mikaela Wallace, MD is a Family Practice in Lubbock, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2021, 5 years ago. Practices with Umc Physicians, a 110-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7301 Milwaukee Ave
Lubbock, TX 79424-0626
Phone: (806) 761-0464
Fax: (806) 698-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T2287 (TX)

Record details

NPI number1992298467
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2018
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address5219 City Bank Pkwy Ste 35, Lubbock, TX 79407-3545

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Umc Physicians — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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