NPI age
19 years
Enumerated 2007-05-23
● Active
Type 1 · Individual
Brian Wallace, N.P.
Wallace is 1 of 11 nurse practitioner providers in Tyler and 1 of 987 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-03-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 987 active nurse practitioner providers in Texas.
NPI age
19 years
↑ 14 yr above median (5 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
1910 Roseland Blvd
Tyler, TX 757014246
Mailing address
1910 Roseland Blvd
Tyler, TX 757014246
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.