| Brenda Faye Amador Wallace, APRN | |
|
325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 | |
| (888) 731-8994 | |
| Not Available |
| Full Name | Brenda Faye Amador Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 325 N Saint Paul St Ste 3100, Dallas, 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 |
|---|---|---|---|
| 1962050369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP142489 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Texas Ancillary Services Ltd | 1456677087 | 26 |
| Wellmed Medical Group Pa | 4880657386 | 656 |
| Panther Inpatient Care Pllc | 6901080183 | 11 |
| Entity Name | Gmg Health Systems Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023030160 PECOS PAC ID: 8123932647 Enrollment ID: O20040121001049 |
| Entity Name | Wellmed Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519 |
| Entity Name | Panther Inpatient Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699078568 PECOS PAC ID: 6901080183 Enrollment ID: O20110413000131 |
| Entity Name | South Texas Ancillary Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063670289 PECOS PAC ID: 1456677087 Enrollment ID: O20150226000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Faye Amador Wallace, APRN 25311 Singing Rain, San Antonio, TX 78260-6268 Ph: (210) 355-8600 | Brenda Faye Amador Wallace, APRN 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 Ph: (888) 731-8994 |
Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020 | |
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855 | |
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173 | |
Christina Hagood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017 | |
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135 | |
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112 | |
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000 |