Tamyra Wallace (NPI# 1952818403, PAC ID# 6800146598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952818403 |
| PAC ID by PECOS | 6800146598 |
| Professional Enrollment ID | I20180829003822 |
| Full Name | Tamyra Wallace |
| Organization Legal Name | SENIOR PSYCHCARE OF DALLAS I PLLC |
| Address |
4200 Shepherd Ln Balch Springs TX 75180-3423 |
| Phone Number | 9722860335 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466625371 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4200 Shepherd Ln, Balch Springs, TX 75180-3423 | 9722860335 | SENIOR PSYCHCARE OF DALLAS I PLLC |
| Organization Legal Name | SENIOR PSYCHCARE OF DALLAS I PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Lewis | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1803 E Us Hwy 243, Sunflower Park Health Care, Kaufman, TX 75142-4118 |
| Kyle Deirdre Johnson | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 9009 Forest Ln, Dallas, TX 75243-4114 |
| Marlon D Womack | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1000 Mckinley St, Benbrook, TX 76126-3474 |
| Uzma Ahmad | Psychiatry | Senior Psychcare of Dallas I Pllc | 1618 Kirby Rd, Carrollton, TX 75006-7453 |
| Peter Nyanegweso Moenga | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 3301 View St, Fort Worth, TX 76103-2425 |
| Mary A Edwards | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 169 S Oak St, Van Healthcare, Van, TX 75790-3516 |
| Charlotte F Isah | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 4200 Shepherd Ln, Balch Springs, TX 75180-3423 |
| Kendall M Reese | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1200 S Hall St, Preferred Care Health Facilities of Texas I Inc, Ennis, TX 75119-6318 |
| Ofear Moore Norris | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
| Laterica K House | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 411 Airport Rd, Sulphur Springs, TX 75482-2005 |
| Street Address |
4200 SHEPHERD LN |
| City | BALCH SPRINGS |
| State | TX |
| Zip | 75180-3423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte F Isah | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 4200 Shepherd Ln, Balch Springs, TX 75180-3423 |
| Teressa L Rasheed | Physician Assistant | Senior Psychcare of Dallas I Pllc | 4200 Shepherd Ln, Balch Springs, TX 75180-3423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leena G Panicker | Nurse Practitioner | 11203 Lake June Rd, Suite 100, Balch Springs, TX 75180-1219 | |
| Esther C Nebo Okorafor | Nurse Practitioner | 14858 Bridle Bend Dr, Balch Springs, TX 75180-3638 |
| City | BALCH SPRINGS |
| Zip Code | 75180 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BALCH SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tamyra 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.