Individual provider · Type 1 NPI

Tracy Wallace, MD

Pediatrics Physician · Gonzales, LA

NPI number 1720306558 Active

Practice location

1937 S Burnside Ave
Gonzales, LA 70737-4632

Call (225) 765-5500 Map

Fax (225) 644-9286

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X204717 (LA)

Pediatrics Physician: 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 de…

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About NPI 1720306558

Tracy Wallace, MD's National Provider Identifier is 1720306558, issued on May 4, 2010. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Gonzales, LA. The record was last updated on May 19, 2021.