Lucy B Wallace MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N4832 Issued in TX

Legal business name

LUCY B WALLACE MD PA

Practice address

175 Ridge Rd
Suite 200
McKinney, TX 75070-5397

Phone

(469) 287-8381

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Lucy Brooks Wallace, MD

Title

President

Phone

(214) 288-9955

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1902284227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG",
            "address_2": "100-163",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705397",
            "telephone_number": "469-287-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY B WALLACE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-288-9955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N4832",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "N4832",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "N4832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanette Lubwama, DPT
• J'Myah Lucas
• Erin Lucero, BCBA
• Gerald Dan Luciani, MD
• Joanne Luciano
• Lucy F. Underwood PHD LPC-S PLLC
• Latoya Ludley, MSN, APRN, FNP-C
• Jill Marie Lueke, M.ED
• Dustin Royss Luepker, ATC
• Comfort Nangeh Lufong

• Surgery Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.