Individual provider · Type 1 NPI

Mikaela Wallace, MD

Family Medicine Physician · Lubbock, TX

NPI number 1992298467 Active

Practice location

7301 Milwaukee Ave
Lubbock, TX 79424-0626

Call (806) 761-0464 Map

Fax (806) 698-6710

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XT2287 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1992298467

Mikaela Wallace, MD's National Provider Identifier is 1992298467, issued on Jun 10, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lubbock, TX. The record was last updated on May 25, 2023.