| David Michael Wallace, DO | |
|
22001 Southwest Fwy Ste 300, Richmond, TX 77469-7001 | |
| (281) 633-4940 | |
| (281) 633-4943 |
| Full Name | David Michael Wallace |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 21 Years |
| Location | 22001 Southwest Fwy Ste 300, Richmond, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437349479 | NPI | - | NPPES |
| 8BL970 | Other | TX | BLUE CROSS BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-008872 (Ohio) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | N0539 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist St John Hospital | Nassau bay, TX | Hospital |
| Houston Methodist San Jacinto Hospital | Baytown, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmh Physician Associates Pllc | 4486711744 | 1766 |
| Entity Name | Oakbend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480725 PECOS PAC ID: 7517917867 Enrollment ID: O20050125000741 |
| Entity Name | Tmh Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Wallace, DO 4911 Sandhill Dr, Sugar Land, TX 77479-5320 Ph: (281) 238-7870 | David Michael Wallace, DO 22001 Southwest Fwy Ste 300, Richmond, TX 77469-7001 Ph: (281) 633-4940 |
Dr. Levi Bondoc Delrosario, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7410 Wakefield Meadow Lane, Richmond, TX 77407 Phone: 832-595-9164 | |
Dr. Carlos E Munoz Jr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1601 Main St 108, Richmond, TX 77469 Phone: 281-342-9503 Fax: 281-341-5461 | |
Rose Obiageli Uchendu, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13934 Carncross Ct, Richmond, TX 77407 Phone: 832-434-2674 | |
Son Bao Duong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Austin St, Richmond, TX 77469 Phone: 281-342-4530 | |
Dr. Sylvester G Vaughns, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Dowling Dr, Richmond, TX 77469 Phone: 281-342-1126 Fax: 281-342-0548 | |
Motaz Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22001 Southwest Fwy Ste 210, Richmond, TX 77469 Phone: 281-972-0464 Fax: 281-336-9167 | |
Dr. Ivan N Mefford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Liberty St, Richmond, TX 77469 Phone: 281-342-9500 Fax: 281-342-6667 |