SCOTT ROBERT WALLACE (NPI# 1104359975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104359975 |
| Entity Type | Individual |
| Full Name | SCOTT ROBERT WALLACE |
| Practice Address |
103 N Loop 499 Harlingen TX 78550-2557 |
| Mailing Address |
1901 S 24th Ave Edinburg TX 78539-6533 |
| Practice Telephone | 9562897000 |
| Practice Fax Number | 9565130409 |
| Mailing Telephone | 9562897025 |
| Mailing Fax Number | 9565130409 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
BP10059771 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138708613 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 S 24th Ave, Edinburg, TX 785396533 | 9562897025 | 9565130409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275809899 | Scott Andrew Wallace | Student in an Organized Health Care Education/Training Program | Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-03-28 |
| 1184996399 | Scott D Wallace | Social Worker | 63 Glenwood St, Lowell, MA 01852-3007 | 2012-02-02 |
| 1629139563 | Scott Matthew Wallace | Chiropractor | 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 | 2006-12-13 |
| 1770655342 | Scott G Wallace | Chiropractor | 2515 Crosby Ave, Klamath Falls, OR 97603-4553 | 2006-11-15 |
| 1558381822 | Scott Christopher Wallace | Anesthesiology | Po Box 112, Muncie, IN 47308-0112 | 2006-07-20 |
| 1831611839 | Scott Christopher Wallace | Nurse Practitioner | 1900 S Main St, Findlay, OH 45840-1214 | 2017-07-11 |
| 1922441880 | Scott Michael Wallace | Pediatrics | 75 Pringle Way, Ste 300, Reno, NV 89502-1464 | 2013-04-10 |
| 1134414220 | Scott Eric Wallace | Pharmacist | 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 | 2011-06-16 |
| 1568755114 | Scott Wallace | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| 1265613855 | Scott Arthur Wallace | Physician Assistant | 3643 N Roxboro St, Durham Regional Hospital Emergency Department, Durham, NC 27704-2702 | 2007-11-25 |
| Street Address |
103 N LOOP 499 |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447310776 | Robert Stanley Guevara | Family Medicine | 103 N Loop 499, Harlingen, TX 78550 | 2006-12-08 |
| 1235744830 | Maryanny E Alvarez | Counselor | 103 N Loop 499, Harlingen, TX 78550-2557 | 2020-09-10 |
| 1194206888 | Laura Chong | Counselor | 103 N Loop 499, Harlingen, TX 78550-2557 | 2018-08-22 |
| 1770001885 | Amanda Castro | Counselor | 103 N Loop 499, Harlingen, TX 78550-2557 | 2017-09-08 |
| 1023544392 | Pauline Gail Gwyn | Pharmacist | 103 N Loop 499, Harlingen, TX 78550-2557 | 2017-05-05 |
| 1013347673 | Genoa Healthcare, LLC | Pharmacy | 103 N Loop 499, Harlingen, TX 78550-2557 | 2013-11-19 |
| 1407124282 | Beatrice Corona | Nurse Practitioner | 103 N Loop 499, Harlingen, TX 78550-2557 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639460207 | Jnc Behavioral Services, P.a. | Psychiatry & Neurology | 1925 W. Loop 499, Ste. B, Harlingen, TX 78550-3005 | 2011-04-29 |
| 1063546844 | Daniel Gustavo Herrera | Psychiatry & Neurology | 613 Victoria Ln, Harlingen, TX 78550-0235 | 2007-03-15 |
| 1730101668 | Nanjappa Sreenivas | Psychiatry & Neurology | 3701 W Business 83, Harlingen, TX 78552-3556 | 2006-07-23 |
| 1831115138 | Gabriel A De Erausquin | Psychiatry & Neurology | 2102 Treasure Hills Blvd # 3.14406, Harlingen, TX 78550 | 2006-07-14 |
| 1487614244 | Evangelino G Pangilinan | Psychiatry & Neurology | 103 N. Loop, Harlingen, TX 78550 | 2006-03-24 |
| 1801884895 | Henry W Weisman | Psychiatry & Neurology | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2005-10-12 |
| 1740822618 | Herrera Psychiatric Services, LLC | Psychiatry & Neurology | 613 Victoria Ln, Harlingen, TX 78550-0235 | 2019-10-12 |
| 1821572967 | Dynamic Behavioral Services Pllc | Psychiatry & Neurology | 613 Victoria Ln, Harlingen, TX 78550-0235 | 2018-09-24 |
| 1265938997 | Jennifer Yoo | Psychiatry & Neurology | 2102 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2018-04-02 |
| 1386140283 | Erendira Vianey Orozco | Psychiatry & Neurology | 2102 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2018-04-01 |
| Find all providers in HARLINGEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.