Tonya Michelle Wallace, LVN - Pediatrics in Conroe, TX

Tonya Michelle Wallace, LVN is a Pediatrics - Medical Toxicology physician based in Conroe, Texas. Tonya Michelle Wallace is licensed to practice in Texas (license number 323378) and her current practice location is 1401 Ashway St, Conroe, Texas. She can be reached at her office (for appointments etc.) via phone at (713) 907-6719.

NPI number for Tonya Michelle Wallace is 1609354786 and her current mailing address is 602 W Semands St, Conroe, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609354786.

Contact Information

Tonya Michelle Wallace, LVN
1401 Ashway St,
Conroe, TX 77385-9704
(713) 907-6719
Not Available

Map and Direction




Physician's Profile

Full NameTonya Michelle Wallace
GenderFemale
SpecialityPediatrics - Medical Toxicology
Location1401 Ashway St, Conroe, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609354786
  • Provider Enumeration Date: 08/01/2018
  • Last Update Date: 08/01/2018

Medical Identifiers

Medical identifiers for Tonya Michelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609354786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080T0002XPediatrics - Medical Toxicology 323378 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tonya Michelle Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tonya Michelle Wallace, LVN
602 W Semands St,
Conroe, TX 77301-1867

Ph: (936) 756-5598
Tonya Michelle Wallace, LVN
1401 Ashway St,
Conroe, TX 77385-9704

Ph: (713) 907-6719

Reviews and Comments


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