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Physician Profile

Tracy Wallace, MD

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At a glance

About Dr. Wallace

Tracy Wallace, MD is a healthcare provider in Gonzales, LA specializing in pediatrics. This provider record is associated with NPI 1720306558.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Pediatrics (Primary)

Credentials & Licensing

LA licenceAs reported to the NPI registry
No. 204717As reported
NPINational Provider Identifier
1720306558Issued 2010

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Wallace specialize in?

Dr. Wallace is a pediatrician in Gonzales, LA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Pediatrics”.

NPI registry

Where is Dr. Wallace located?

Dr. Wallace is listed at 1937 S Burnside Ave, Gonzales, LA 70737. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Wallace's phone number?

The number on file is (225) 765-5500. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Wallace's NPI number?

Dr. Wallace's National Provider Identifier is 1720306558. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Wallace been practicing?

Dr. Wallace has 16+ years experience. Registered with an NPI since 2010. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.

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