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

Robert L Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1588734099

Robert L Wallace, MD is an Emergency Medicine Physician in Las Vegas, Nevada. Licensed in New Mexico and Nevada. Registered with an NPI since 2006.

Licensed in
NM, NV
In the registry since
2006
Specialties on file
3
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

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone: (972) 915-3600
Fax: (972) 915-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20020421 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4114 (NV)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 4114 (NV)

Record details

NPI number1588734099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 28, 2010
Mailing address9229 Lbj Fwy, Ste 250, Dallas, TX 75243-3405

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