Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAILY WALLACE, MD
ActiveHAILY WALLACE, MD is a Family Medicine healthcare provider located in TUCUMCARI, New Mexico. NPI 1679839534 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TUCUMCARI, NM
Registration Details
- NPI Number
- 1679839534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2012 (14.178638637332 yrs)
- Last Updated
- Jun 18, 2015
- License
-
MD2014-0895 (NM)
Practice Information
- Address
-
402 E MIEL DE LUNA AVEPMG AT DR DAN C TRIGG MEMORIAL HOSPITALTUCUMCARI, NM, 884013828Browse NM providers · Browse ZIP 88401
- Phone
- 5754617100
- Fax
- 5754617101
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in TUCUMCARI, NM
| Name | Credential | NPI |
|---|---|---|
| DR. DARRELL E WILLIS | MD | 1740235480 |
| MUDASSIR MUBEEN SALEEMI | M.D. | 1437175379 |
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.