Mary Meaghan Wallace (NPI# 1760986558, PAC ID# 8527314715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760986558 |
| PAC ID by PECOS | 8527314715 |
| Professional Enrollment ID | I20180629002377 |
| Full Name | Mary Meaghan Wallace |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Address |
6624 Fannin St Suite 2380 Houston TX 77030-2308 |
| Phone Number | 7138006212 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688999022 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6624 Fannin St, Suite 2380, Houston, TX 77030-2308 | 7138006212 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayden B Mcneill | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 |
| Erika Crate | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 1674 W Baker Rd, Suite A, Baytown, TX 77521-2285 |
| Megan Lynette Craig | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 8000 Research Forest Dr, Suite 360, The Woodlands, TX 77382-1559 |
| Georjene Parker | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 210 E Houston St, Gc_leh_cleveland Office, Cleveland, TX 77327-4512 |
| Billie Botello | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 11040 E Fwy, Houston, TX 77029-1931 |
| Joy Leblanc | Obstetrics/gynecology | Privia Medical Group Gulf Coast Pllc | 7900 Fannin St, Suite 4000, Houston, TX 77054-2935 |
| Terah C Isaacson | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 |
| Alice A Lim | Family Medicine | Privia Medical Group Gulf Coast Pllc | 7814 Bellaire Blvd, Houston, TX 77036-4936 |
| Patricia A Henry | Registered Dietitian Or Nutrition Professional | Privia Medical Group Gulf Coast Pllc | 10333 Kuykendahl Rd, Suite B, The Woodlands, TX 77382-2878 |
| Daniel L Howell | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 7105 Lawndale St, Houston, TX 77023-4248 |
| Street Address |
6624 FANNIN ST SUITE 2380 |
| City | HOUSTON |
| State | TX |
| Zip | 77030-2308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasha M Edwards | Qualified Audiologist | Weber, Moses, Hung and Powitzky LLP | 6624 Fannin St, Suite 1480, Houston, TX 77030-2385 |
| Christopher V Nguyen | Cardiovascular Disease (cardiology) | Baylor St Lukes Medical Group | 6624 Fannin St, Suite 1240, Houston, TX 77030-2324 |
| Melanie E Mouzoon | Pediatric Medicine | Kelsey-seybold Medical Group, Pllc | 6624 Fannin St, Houston, TX 77030-2312 |
| Maher Daas | Pulmonary Disease | Kelsey-seybold Medical Group, Pllc | 6624 Fannin St, Houston, TX 77030-2312 |
| Samar S Sheth | Interventional Cardiology | Medical Center Cardiovascular Association | 6624 Fannin St, Suite 1720, Houston, TX 77030-2329 |
| Sibtain H Ali | Nephrology | Renal Specialists of Houston, Pa | 6624 Fannin St, Suite 2200, Houston, TX 77030-2334 |
| Randall D Walker | Family Medicine | Baylor St Lukes Medical Group | 6624 Fannin St, Suite 1240, Houston, TX 77030-2324 |
| Chacko Alexander | Cardiovascular Disease (cardiology) | Baylor St Lukes Medical Group | 6624 Fannin St, Suite 1240, Houston, TX 77030-2324 |
| Alexander Nestor Stadnyk | Pulmonary Disease | 6624 Fannin St, Suite 1450, Houston, TX 77030-2385 | |
| Azita Madjidi | Plastic and Reconstructive Surgery | 6624 Fannin St, Suite 2590, Houston, TX 77030-2337 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Netscher | Hand Surgery | 6624 Fannin, Suite 2730, Houston, TX 77030 | |
| Petros E Carvounis | Ophthalmology | 6655 Travis St, Suite 560, Houston, TX 77030-1312 | |
| Karen L Mackenney | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| January Y Tsai | Anesthesiology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Megan J Tanner | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Erica V Jimenez | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Nina R Patel | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Tarin A Doubt | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Sheldon Chen | Nephrology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Vickie R Shannon | Pulmonary Disease | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Find all physicians in zip 77030 | |||
| City | HOUSTON |
| Zip Code | 77030 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOUSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Meaghan 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.