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Tracy Wallace, MD
Pediatrics Physician in Gonzales, Louisiana
NPI 1720306558

Tracy Wallace is a Pediatrics Physician based in Baton Rouge, LA. Tracy Wallace practices in Gonzales, LA and has the professional credentials of MD. The NPI Number for Tracy Wallace is 1720306558 and holds a License No. 204717 (Louisiana).

The current practice location address for Tracy Wallace is 1937 S Burnside Ave, Gonzales, LA and can be reached out via phone at 225-765-5500 and via fax at 225-644-9286.

Location: 1937 S Burnside Ave, Gonzales, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720306558
Provider Name
Tracy Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1937 S Burnside Ave, Gonzales, LA, 70816-6038
Phone Number
225-765-5500
Fax Number
225-644-9286
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2103831 05 LA
institution
Provider Business Practice Location Address Details
Address
1937 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4632
Phone Number
225-765-5500
Fax Number
225-644-9286
person
Provider Business Mailing Address Details
Address
1937 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4632
Phone Number
225-765-5500
Fax Number
225-644-9286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
204717 (Louisiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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