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William R Wallace, MD
Emergency Medicine Physician in Tyler, Texas
NPI 1962445825

William R Wallace is a Emergency Medicine Physician based in Tyler, TX. William R Wallace practices in Tyler, TX and has the professional credentials of MD. The NPI Number for William R Wallace is 1962445825 and holds a License No. H9585 (Texas).

The current practice location address for William R Wallace is 1809 Capital Dr, Tyler, TX and can be reached out via phone at 903-509-4499 and via fax at 903-509-4490.

Location: 1809 Capital Dr, Tyler, TX, 75701-8438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962445825
Provider Name
William R Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1809 Capital Dr, Tyler, TX, 75701-8438
Phone Number
903-509-4499
Fax Number
903-509-4490
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
139484314 05 TX
0076EJ 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1809 Capital Dr
City
Tyler
State
Texas
Zip
75701-8438
Phone Number
903-509-4499
Fax Number
903-509-4490
person
Provider Business Mailing Address Details
Address
1809 Capital Dr
City
Tyler
State
Texas
Zip
75701-8438
Phone Number
903-509-4499
Fax Number
903-509-4490
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
H9585 (Texas)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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