Active NPI
Lucy Brooks Wallace, M.D.
- Surgical Oncology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- N4832
- Practice address
- 3410 Worth St Ste 160
Dallas, TX 75246-2092 - Phone
- (214) 826-9797
- Fax
- (972) 996-0465
- NPI assigned
- Jun 13, 2007
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N4832 | TX | |
| Surgery Physician | 208600000X | 77806 | GA | |
| Trauma Surgery Physician | 2086S0127X | N4832 | TX | |
| Surgical Oncology Physician | 2086X0206X | N4832 | TX | Primary |
Addresses
Primary practice location
3410 Worth St Ste 160
Dallas, TX 75246-2092
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003193207A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwallace508664@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- University of Miami, LM Miller School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3410 Worth St
Suite 160
Dallas, TX 75246-2092
Phone (214) 826-9797
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott and White Medical Center Uptown
- Baylor Scott and White Medical Center Lake Pointe
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77806 | GA | MD | Surgery Physician |
| N4832 | TX | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Surgery | Current | Accepting new patients |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797
3410 Worth St
Ste 235
Dallas, TX 75246
Phone (214) 820-0434
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577
3801 W 15th St
Ste 150B
Plano, TX 75075
Phone (214) 501-5427
Interoperability endpoints
- lucy.wallace.1@1405.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Baylor Scott & White Medical Center Lake Pointe
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
dba Baylor Scott & White Medical Center - Uptown
- General Acute Care Hospital
- Dallas, TX
- NPI 1386647717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1770787566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WORTH ST STE 160",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462092",
"telephone_number": "214-826-9797",
"fax_number": "972-996-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "LUCY",
"middle_name": "BROOKS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N4832",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "77806",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "N4832",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "N4832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003193207A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwallace508664@direct.sw.org",
"affiliation": "N",
"address_1": "3410 Worth St Ste 235",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752462071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.