Angela Darlene Wallace (NPI# 1255510848, PAC ID# 3476635186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1255510848 |
| PAC ID by PECOS | 3476635186 |
| Professional Enrollment ID | I20080201000422 |
| Full Name | Angela Darlene Wallace |
| Organization Legal Name | SCOTT AND WHITE CLINIC |
| Address |
100 Hillcrest Medical Blvd Waco TX 76712-8897 |
| Phone Number | 2542025800 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8123923604 |
| Number of Group Practice Members | 1739 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450101 | BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST |
| Address | Phone | Organization |
|---|---|---|
| 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2542025800 | SCOTT AND WHITE CLINIC |
| Organization Legal Name | SCOTT AND WHITE CLINIC |
| Physicians | 1850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Nanette Keith | Nurse Practitioner | Scott and White Clinic | 2405 S S Clear Creek Rd, Suite 350, Killeen, TX 76549-5775 |
| Benjamin Joseph Klein | Psychologist, Clinical | Scott and White Clinic | 409 W Adams Ave, Temple, TX 76501-4211 |
| Michal Wolski | Radiation Oncology | Scott and White Clinic | 1605 S 31st St, Baylor Scott and White Center for Dia, Temple, TX 76508-0001 |
| Roger Shen | Family Medicine | Scott and White Clinic | 510 N Hewitt Dr, Baylor Scott and White Clinic Hewit, Hewitt, TX 76643-3038 |
| Oluwaseun O Olaiya | Internal Medicine | Scott and White Clinic | 1700 University E Dr, College Station University Drive, College Station, TX 77840-2661 |
| Kelsey Ann Houston | Nurse Practitioner | Scott and White Clinic | 1815 S 31st St, Baylor Scott and White Pavilion Temple, Temple, TX 76504-6728 |
| Phyllis Turner | Clinical Social Worker | Scott and White Clinic | 748 N Earl Rudder Fwy, Bryan Booneville Clinic, Bryan, TX 77802-2914 |
| Tove Martine Goldson | Family Medicine | Scott and White Clinic | 1402 W Ave H, Baylor Scott and White Clinic Templ, Temple, TX 76504-5342 |
| Amanda Beretta | Family Medicine | Scott and White Clinic | 3801 Scott and White Dr, Baylor Scott and White Clinic Kille, Killeen, TX 76541-5252 |
| Vikash Patel | Family Medicine | Scott and White Clinic | 1501 Pecan St W, Suite 101 102, Pflugerville, TX 78660-2543 |
| Street Address |
100 HILLCREST MEDICAL BLVD |
| City | WACO |
| State | TX |
| Zip | 76712-8897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milind R Chinoy | Emergency Medicine | Century Integrated Partners, Inc | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Paul A Burns | Emergency Medicine | Century Integrated Partners, Inc | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Jay M Stanley | Orthopedic Surgery | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Matthew L Kendrick | Diagnostic Radiology | Hillcrest X-ray Physicians | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Husain Mohsin Bharmal | Orthopedic Surgery | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Aman Sibal | Internal Medicine | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Adam Kiehl | Internal Medicine | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Mark Rutledge | Nurse Practitioner | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Russell L Mcclellan | Diagnostic Radiology | Hillcrest X-ray Physicians | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Douglas Roderick Stoddard | General Surgery | Hillcrest Physician Services | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Nina Wilson | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Find all physicians in zip 76712 | |||
| City | WACO |
| Zip Code | 76712 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WACO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Angela Darlene Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.