Jennifer L Wallace (NPI# 1699760934, PAC ID# 5597958033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1699760934 |
PAC ID by PECOS | 5597958033 |
Professional Enrollment ID | I20101018000203 |
Full Name | Jennifer L Wallace |
Organization Legal Name | EXECUDOC, INC |
Address |
7720 Jones Maltsberger Rd Suite 110 San Antonio TX 78216-6986 |
Phone Number | 2108222004 |
Gender | F |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1989 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 6305822438 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7720 Jones Maltsberger Rd, Suite 110, San Antonio, TX 78216-6986 | 2108222004 | EXECUDOC, INC |
Organization Legal Name | EXECUDOC, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Lee Thornton | Internal Medicine | Execudoc, Inc | 7720 Jones Maltsberger Rd, Suite 110, San Antonio, TX 78216-6986 |
Street Address |
7720 JONES MALTSBERGER RD SUITE 110 |
City | SAN ANTONIO |
State | TX |
Zip | 78216-6986 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Lee Thornton | Internal Medicine | Execudoc, Inc | 7720 Jones Maltsberger Rd, Suite 110, San Antonio, TX 78216-6986 |
Name | Specialty | Organization | Address |
---|---|---|---|
Henry H Herrera | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, Suite 900, San Antonio, TX 78216 |
Hanya Adadeer Habib | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
Maciej Franciszek Babinski | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
Diane R. Biery | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
Inocencio A Davila | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, Suite 900, San Antonio, TX 78216 |
Steven P. Snider | Podiatry | 300 W Bitters Rd, Suite 205, San Antonio, TX 78216-1691 | |
Nefertiti Weaver-borton | Nurse Practitioner | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
Angela R Scalzi | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
Paul Thomas Duncan | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
Glenda Jean Peters-do M.d | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
Find all physicians in zip 78216 |
City | SAN ANTONIO |
Zip Code | 78216 |
Specialty | INTERNAL MEDICINE |
City + Specialty | SAN ANTONIO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jennifer L 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.