Rafaella Izar Wallace ANP

  • NPI 1821469107
According to our database, the NPI number for Rafaella Izar Wallace ANP is 1821469107 and activated since 8 years ago. Rafaella Izar Wallace ANP is an individual provider who specializes in Adult Health, and the primary practice location is 500 S Henderson St Ste 200, Fort Worth, TX 76104. You can also contact Rafaella Izar Wallace ANP via telephone number is (817) 413-1500. Provider NPI information was last updated on 05/26/2021.

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Overview of Rafaella Izar Wallace ANP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/13/2015
  • Last updated: 05/26/2021

Primary Scrop of Practice

  • Taxonomy Code: 363LA2200X
  • Specialty: Adult Health
  • License Number: AP129253
  • License State: TX

Provider Mailing Address

  • Address: Po Box 911230
    Dallas, TX 75391
  • Phone: 972-997-8000
  • Fax: 972-234-2987

Provider Practice Location

  • Address: 500 S Henderson St Ste 200
    Fort Worth, TX 76104
  • Phone: 817-413-1500
  • Fax: 817-413-1499

Scope of Practice

  • Taxonomy Code: 363LA2200X
  • Specialty: Adult Health
  • License Number: AP129253
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 8449NZ
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Rafaella Izar Wallace ANP?
  • A: The npi number for Rafaella Izar Wallace ANP is 1821469107.
  • Q: What are Rafaella Izar Wallace ANP's specialties?
  • A: Rafaella Izar Wallace ANP's specialties are Adult Health and different specialities.
  • Q: What is the medical license for Rafaella Izar Wallace ANP?
  • A: The medical license number for Rafaella Izar Wallace ANP is AP129253 and issued in TX in USA.
  • Q: Where is Rafaella Izar Wallace ANP practice location?
  • A: Rafaella Izar Wallace ANP is practicing at 500 S Henderson St Ste 200, Fort Worth, TX 76104.
  • Q: How to contact Rafaella Izar Wallace ANP?
  • A: You can contact Rafaella Izar Wallace ANP via 817-413-1500.