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ALLEN WALLACE
NPI 1417683293
Private Vehicle in Lubbock, TX

Active since July 25, 2022
3506 E 14TH ST, LUBBOCK, TX 79403(806) 777-3607 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Jul 25, 2022 (2 updates tracked since 2022).

About Allen Wallace NPPES

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

ALLEN WALLACE (NPI 1417683293) is an individual private vehicle provider in Lubbock, Texas, licensed in Texas (22954496) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1417683293
Entity TypeIndividualMale
Primary Taxonomy347C00000X
Provider Legal NameALLEN WALLACE
Location Address3506 E 14TH STLubbock, TX 79403-6207
Mailing Address6923 Indiana Ave # 335Lubbock, TX 79413-6111 · (806) 491-9778
Phone(806) 777-3607
Sole ProprietorYes
Enumeration DateJuly 25, 2022
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1417683293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in TX · 22954496
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedDriverTaxonomy 172A00000X · License 22954496 (TX)
3506 E 14TH ST, Lubbock, TX 79403
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Other Identifiers 1

Medicaid1417683293TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Allen Wallace's NPI number?

The NPI number for Allen Wallace is 1417683293. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Allen Wallace located?

Allen Wallace practices at 3506 E 14th St, Lubbock, TX 79403. The listed phone number is (806) 777-3607.

What is Allen Wallace's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Allen Wallace was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.