National Provider Identifier Database

PATRICK J WALLACE, MD – NPI #1740219369
Trauma Surgery

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.


Contact Information

PATRICK J WALLACE, MD
2240 GULF FWY S STE 2.100
LEAGUE CITY, TX77573-5143
Phone: 832-505-1800
Fax:
Website:
Specialty Taxonomy Code
* Trauma Surgery 2086S0127X
Surgery 208600000X
Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for PATRICK J WALLACE

NPI Number 1740219369
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 11/21/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • TX License #: J7243
  • TX Medicaid: 041937602
  • Other: P00229401 MEDICARE RAILROAD
  • TX Other: 8S4802 BLUE CROSS/BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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