Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANGELA CECILE WALLACE
NPI 1235043464
Nurse Practitioner - Acute Care in Lubbock, TX

Q: What is Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1235043464. It was assigned to this individual provider in the NPPES registry on October 2, 2026.

Q: What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Angela Wallace was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2026

4614 9TH ST, LUBBOCK, TX 79416(806) 790-5597 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Angela Cecile Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA CECILE WALLACE (NPI 1235043464) is an individual acute care provider in Lubbock, Texas, licensed in Texas (1243676) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1235043464

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameANGELA CECILE WALLACE

Location Address4614 9TH STLubbock, TX 79416-4720

Mailing Address4614 9th StLubbock, TX 79416-4720 · (806) 790-5597

Phone(806) 790-5597

Sole ProprietorYes

Enumeration DateOctober 2, 2026

NPPES CertifiedOctober 2, 2026

✔ NPI 1235043464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1243676

4614 9TH ST, Lubbock, TX 79416

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1235043464. It was assigned to this individual provider in the NPPES registry on October 2, 2026.

Where is Angela Wallace located?

Angela Wallace practices at 4614 9th St, Lubbock, TX 79416. The listed phone number is (806) 790-5597.

What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Angela Wallace was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.