| Dr Angela Darlene Wallace, MD | |
|
100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
| (254) 202-5631 | |
| Not Available |
| Full Name | Dr Angela Darlene Wallace |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | M7736 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Hillcrest | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Palo Pinto County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841258076 PECOS PAC ID: 5890602759 Enrollment ID: O20031106000393 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Darlene Wallace, MD 806 Tangle Way Ct, Cedar Hill, TX 75104-7818 Ph: (412) 216-0743 | Dr Angela Darlene Wallace, MD 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-5631 |
Thomas J Valigura, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 | |
Kyle Sulak, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr Ste 105, Waco, TX 76712 Phone: 254-776-0266 | |
Dr. Rachel Backstrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Holly W Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Casey D Hector, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jeffrey T Manning, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jose Miguel Soto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 |