DR. BRENT H WALLACE M.D.
NPI 1386638252
Internal Medicine in Cleburne, TX

Active since September 07, 2005
141 HYDE PARK BLVD, CLEBURNE, TX 76033(817) 641-5221(817) 517-5241 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brent H Wallace M.d. NPPES

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

DR. BRENT H WALLACE M.D. (NPI 1386638252) is an individual internal medicine provider in Cleburne, Texas, licensed in Texas (F2093) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1386638252
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRENT H WALLACECredential: M.D.
Location Address141 HYDE PARK BLVDCleburne, TX 76033-4561
Mailing Address141 Hyde Park BlvdCleburne, TX 76033-4561 · (817) 641-5221 · Fax (817) 517-5241
Fax(817) 517-5241
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1386638252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · F2093
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

141 HYDE PARK BLVD, Cleburne, TX 76033

Other Identifiers 2

Medicare UPINC23121TN
Medicare ID-Type Unspecified8556K0TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
141 HYDE PARK BLVD
CLEBURNE, TX 76033

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 Brent Wallace's NPI number?

The NPI number for Brent Wallace is 1386638252. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Brent Wallace located?

Brent Wallace practices at 141 Hyde Park Blvd, Cleburne, TX 76033. The listed phone number is (817) 641-5221.

What is Brent Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Brent Wallace was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.