Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY WALLACE, MD
ActivePediatrics · GONZALES, LA
Registration Details
- NPI Number
- 1720306558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2010 (15.964853255861 yrs)
- Last Updated
- May 19, 2021
- License
-
204717 (LA)
Practice Information
- Address
-
1937 S BURNSIDE AVEGONZALES, LA, 707374632Browse LA providers · Browse ZIP 70737
- Phone
- 2257655500
- Fax
- 2256449286
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GONZALES, LA
| Name | Credential | NPI |
|---|---|---|
| PAUL CARY AGUILLARD | M.D. | 1871591982 |
| MADELEINE GUERIN | M.D. | 1932108651 |
| LEYAMMA MATHEW | M.D. | 1134112675 |
| DAWN ZITMAN | M.D. | 1720078603 |
| SARAH WILKS | M.D. | 1497912521 |
| CAMMIE A HILLIARD | MD | 1023250222 |
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.