DR. LORETTA WALL


Address: 2460 North Ih 35 Suite 100, Professional Plaza I, Waxahachie, TX 75165
Phone: 4698009500

DR. LORETTA WALL (NPI# 1851879761) 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) 1851879761
Entity Type Individual
Full Name DR. LORETTA WALL
Credential DNP
Practice Address 2460 North Ih 35 Suite 100, Professional Plaza I
Waxahachie
TX 75165
Mailing Address 3019 England Pkwy
Grand Prairie
TX 75054-6601
Practice Telephone 4698009500
Mailing Telephone 8172470034
Mailing Fax Number 8174537780
Enumeration Date 2018-08-02
Last Update Date 2018-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP137936 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
305 Regency Pkwy Ste 509, Mansfield, TX 760633795 8174532323 8174532322

Other Providers LORETTA WALL

NPI Name Taxonomy Address Enumeration
1417276817 Loretta Yvonne Wall Social Worker 3028 Greenmount Ave, Baltimore, MD 21218-3938 2010-05-25

Office Location

Street Address 2460 NORTH IH 35 SUITE 100, PROFESSIONAL PLAZA I
City WAXAHACHIE
State TX
Zip Code 75165

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702523 Texas Health Surgery Center Waxahachie, LLC Clinic/Center 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 2020-05-27
1649890112 Roberta Mashel Wilks Licensed Practical Nurse 109 Southhampton Place, Waxahachie, TX 75165 2020-04-24
1376172072 Marian Browning Dietitian, Registered 2400 North I35-e, Waxahachie, TX 75165 2020-04-04
1083240758 Megan Byrom Dietitian, Registered 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 2020-03-13
1679118996 Waxahachie Modern Dentistry, PC Dentist 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 2019-11-11
1194369546 Eastland Memorial Hospital District Skilled Nursing Facility 3650 Interstate 35 E, Waxahachie, TX 75165 2019-10-29
1750935888 Victoria Layne Oates Registered Nurse 125 Cantle St, Waxahachie, TX 75165 2019-07-26
1417519828 Sarah Ann Key Dentist 1618 Us-287 Bus, Waxahachie, TX 75165 2019-07-05
1619433034 Mariposa Perinatal Services Pllc Obstetrics & Gynecology 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 2019-02-11
1376026807 Lyndsey Jean May Occupational Therapy Assistant 3650 S.interstate 35-e, Waxahachie, TX 75165 2018-09-11
Find all providers in zip 75165

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972131027 Robert Sullivan Nurse Practitioner 8821 Mallory Ct, Waxahachie, TX 75167-6007 2020-04-01
1992349294 Megan Nicole Jenkins Nurse Practitioner 2460 N I 35 Ste 100, Waxahachie, TX 75165-5267 2019-10-30
1467003855 Melissa Stoup Nurse Practitioner 8641 Mattie Ln, Waxahachie, TX 75167-7281 2019-09-26
1740848431 Jideofor Uzoma Ogbonna Nurse Practitioner 1102 Solon Place Way Ste A, Waxahachie, TX 75165-5038 2019-05-29
1194242594 Hector Condarco Nurse Practitioner 2400 North I35 East Service Road, Waxahachie, TX 75165 2017-08-25
1952757825 Laura Driggers Nurse Practitioner 2460 N Ih 35 E Ste 100, Waxahachie, TX 75165-5267 2016-05-10
1275846842 Kimberly Hortman Nurse Practitioner 1405 W. Jefferson, Emergency Department, Waxahachie, TX 75165 2010-07-23
1992886923 Lance W Hall Nurse Practitioner 3085 Fm 1446, Waxahachie, TX 75167-8602 2006-10-18
1356375364 Brenda L Wyrick Nurse Practitioner 141 Rvg Pkwy Ste 104, Waxahachie, TX 75165-5288 2006-07-10
1235135567 Lisa G Taylor Nurse Practitioner 135 N Falling Leaves Dr, Waxahachie, TX 75167-9045 2005-06-22
Find all providers in WAXAHACHIE

Competitor

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City WAXAHACHIE
Zip Code 75165

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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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