Pcdi Healthcare and Consultants/ the Wallace Group

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PCDI HEALTHCARE AND CONSULTANTS/ THE WALLACE GROUP

Practice address

638 Cedarcliff Dr
Dallas, TX 75217-4208

Phone

(972) 955-1911

Fax

(214) 467-4315

NPI assigned

Aug 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony De'Wayn'E Wallace, CRNA

Title

Ceo

Phone

(972) 955-1911

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1326295346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 CEDARCLIFF DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174208",
            "telephone_number": "972-955-1911",
            "fax_number": "214-467-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CEDARCLIFF DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174208",
            "telephone_number": "972-955-1911",
            "fax_number": "214-467-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCDI HEALTHCARE AND CONSULTANTS/ THE WALLACE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DE'WAYN'E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-955-1911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "32016909494",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Findley Paz, PT, DPT
• Mariana Paz
• Bradford B Pazandak, MD
• Shahrum Pazoki
• PC Home Health
• PCN Care PLLC
• PD Medical Supply Inc
• Pdi Health TX LLC
• Pdi Health TX LLC
• PDP of Texas, PLLC

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.