Anna Wallace, APRN | |
3101 Churchill Dr Ste 100, Flower Mound, TX 75022-2717 | |
(682) 683-2300 | |
(817) 337-6866 |
Full Name | Anna Wallace |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3101 Churchill Dr Ste 100, Flower Mound, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033982780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1140665 (Texas) | Primary |
Entity Name | Rrr Hyperbarics 3 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871041913 PECOS PAC ID: 7113288101 Enrollment ID: O20180308001587 |
Entity Name | Rrr Hyperbarics 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407278286 PECOS PAC ID: 4082975982 Enrollment ID: O20180308002199 |
Entity Name | Rrr Hyperbarics 4 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205367455 PECOS PAC ID: 9537421482 Enrollment ID: O20180313001401 |
Entity Name | Rrr Hyperbarics 5 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659887248 PECOS PAC ID: 5496018848 Enrollment ID: O20180417001548 |
Entity Name | Rrr Hyperbarics 8, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720739048 PECOS PAC ID: 1658767892 Enrollment ID: O20220415000102 |
Entity Name | Dfw Diabetic Relief Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265120240 PECOS PAC ID: 7214382738 Enrollment ID: O20231018001282 |
Mailing Address | Practice Location Address |
---|---|
Anna Wallace, APRN 3101 Churchill Dr Ste 100, Flower Mound, TX 75022-2717 Ph: (682) 237-7600 | Anna Wallace, APRN 3101 Churchill Dr Ste 100, Flower Mound, TX 75022-2717 Ph: (682) 683-2300 |
Brian Dale Glaser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Long Prairie Road, Suite 200, Flower Mound, TX 75022 Phone: 972-899-6300 Fax: 972-899-6020 | |
Srikanth Gaddam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 Long Prairie Rd, Flower Mound, TX 75028 Phone: 469-322-7481 Fax: 469-322-7807 | |
Melanie Gray, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3101 Churchill Dr Ste 115, Flower Mound, TX 75022 Phone: 469-645-1804 Fax: 817-725-7885 | |
Monica Olivier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Long Prairie Rd Ste 160, Flower Mound, TX 75028 Phone: 972-355-1505 Fax: 972-355-1095 | |
Mr. David Conrad Ortmeier, LAT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4900 Wichita Trl, Flower Mound, TX 75022 Phone: 682-237-0232 | |
Roya Seysan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2261 Olympia Dr, Flower Mound, TX 75028 Phone: 972-691-8585 Fax: 972-691-8686 |