DR. JENNIFER L WALLACE


Address: 7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216
Phone: 2108222004

DR. JENNIFER L WALLACE (NPI# 1699760934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699760934
Entity Type Individual
Full Name DR. JENNIFER L WALLACE
Credential M D
Practice Address 7720 Jones Maltsberger
Suite 110
San Antonio
TX 78216
Practice Telephone 2108222004
Practice Fax Number 2108222215
Mailing Telephone 2108222004
Mailing Fax Number 2108222215
Enumeration Date 2005-09-13
Last Update Date 2016-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine H9277 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 117537405 05
TX BCBSTX 8DL467 01
TX 135685902 05
TX 117537404 05

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1306035431 Jennifer L Wallace Physical Therapist 3891 50th Ave S, Saint Petersburg, FL 33711-4811 2007-10-15
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1992766570 Jennifer P Wallace Specialist 64400 E 26th Ct, Byers, CO 80103-8539 2006-03-31
1730154154 Jennifer Lyn Wallace Family Medicine 1235 Se Division St, Suite 208, Portland, OR 97202-1099 2006-02-20

Office Location

Street Address 7720 JONES MALTSBERGER
SUITE 110
City SAN ANTONIO
State TX
Zip Code 78216

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
1487155677 Ojer Corbie Behavior Technician 11310 Sir Winston At Bld D, San Antonio, TX 78216 2018-02-23
1366943631 Briana Nicole Rodriguez Behavior Technician 14235 Blanco Road, San Antonio, TX 78216 2018-02-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

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1154945913 Primera Wellness LLC Internal Medicine 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 2020-06-07
1982244612 Douglas Shawn Owens Internal Medicine 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 2020-01-10
1053872937 Southern Texas Physicians,llc Internal Medicine 14345 Blanco Rd, San Antonio, TX 78216-7723 2019-03-25
1568929479 Abc Medical Concierge LLC Internal Medicine 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 2019-02-27
1861972796 Integrative Health Solution, LLC Internal Medicine 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 2018-08-20
1528553039 Remington Wellness Group Dba Truemed Health Centers Internal Medicine 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 2018-06-27
1942733662 Tasnim Islam Internal Medicine 12446 West Ave Ste 102, San Antonio, TX 78216-2530 2017-04-10
1154866135 Chris Dire Internal Medicine 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 2016-12-29
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Competitor

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City SAN ANTONIO
Zip Code 78216

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Dataset Information

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.

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