TRACY WALLACE, MD
Pediatrics
Active
Individual
NPI: 1720306558
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 204717 (LA) |
Frequently Asked Questions
NPI 1720306558 is the National Provider Identifier for TRACY WALLACE, MD, a Pediatrics provider located in Gonzales, LA. This NPI was enumerated on May 4, 2010.
TRACY WALLACE, MD practices at 1937 S BURNSIDE AVE, Gonzales, LA 70737.
Quick Facts
- NPI
- 1720306558
- Type
- Individual
- Enumerated
- May 4, 2010
- Last Updated
- May 19, 2021
Nearby Providers
-
CAMITA RICKS
Driver
-
DR. JASON ADAMS, M.D.
Obstetrics & Gynecology
-
DR. STEPHEN MANALE, M.D.
Surgery
-
DR. VINCENT RACHAL, OD
Optometrist
-
DR. EDWIN ADAMS III, OD
Optometrist