MR. BENJAMIN LEVI WALLACE FNP-C
NPI 1962913293
Nurse Practitioner - Family in Huntsville, TX

Q: What is Benjamin Wallace's NPI number?

The NPI number for Benjamin Wallace is 1962913293. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Q: What is Benjamin Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Wallace was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 13, 2017

264 FM 3478 RD, HUNTSVILLE, TX 77320(936) 291-4200 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Benjamin Levi Wallace Fnp-c NPPES

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

MR. BENJAMIN LEVI WALLACE FNP-C (NPI 1962913293) is an individual family provider in Huntsville, Texas, licensed in Texas (AP134640) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1962913293

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BENJAMIN LEVI WALLACECredential: FNP-C

Location Address264 FM 3478 RDHuntsville, TX 77320-3322

Mailing Address540 Pine StCrockett, TX 75835-5555 · (936) 222-1358

Phone(936) 291-4200

Sole ProprietorNo

Enumeration DateOctober 13, 2017

✔ NPI 1962913293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP134640

264 FM 3478 RD, Huntsville, TX 77320

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Other Providers at the Same Location NPPES 3

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

DR. DAVID LEE SEALS DDS

Dentist (General Practice)

264 FM 3478 RD
HUNTSVILLE, TX 77320

Walker County (936) 291-4200

STEPHANIE C NWADIKE FNP-C

Nurse Practitioner (Family)

264 FM 3478 RD
HUNTSVILLE, TX 77320

Walker County (936) 291-4200

MISS OLUFUNMILAYO VICTORIA ADEFOLARIN FNP-C

Nurse Practitioner (Family)

264 FM 3478 RD
HUNTSVILLE, TX 77320

Walker County (936) 291-4200

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 Benjamin Wallace's NPI number?

The NPI number for Benjamin Wallace is 1962913293. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Benjamin Wallace located?

Benjamin Wallace practices at 264 Fm 3478 Rd, Huntsville, TX 77320. The listed phone number is (936) 291-4200.

What is Benjamin Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Benjamin Wallace was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.