Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELISE WALLACE, MSRD/LD
ActiveMS. MARY ELISE WALLACE, MSRD/LD is a Registered Dietitian healthcare provider located in ROCKWALL, Texas. NPI 1013451608 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ROCKWALL, TX
Registration Details
- NPI Number
- 1013451608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2016 (9.6539226849602 yrs)
- Last Updated
- Aug 12, 2021
- License
-
DT03189 (TX)
Practice Information
- Address
-
6705 HERITAGE PKWY STE 104ROCKWALL, TX, 750878729Browse TX providers · Browse ZIP 75087
- Phone
- 9724127700
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in ROCKWALL, TX
| Name | Credential | NPI |
|---|---|---|
| MARY BACHMEYER | RD,LD | 1134141955 |
| JULIE A STAMPER | RD LD | 1104921311 |
| MRS. KATHERINE N TOM | M.S., R.D., CDCES | 1326217597 |
| MS. BETSY THOMAS | R.D, L.D | 1598936791 |
| MRS. MICHELE ANN BURRIS | R.D. | 1528364452 |
| ANGELA PERALTA | RDN, LD | 1609204213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.