P Praxis·MD
● Active Type 1 · Individual

Tonya Michelle Wallace, LVN

Pediatrics·Conroe, TX· NPI 1609354786 · Enumerated 2018 · 7 years on NPI
Wallace is 1 of 1 pediatrics providers in Conroe and 1 of 2 in Texas.
NPI age
7 years
Enumerated 2018-08-01
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2 active pediatrics providers in Texas.

NPI age
7 years
↓ 6 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
1401 Ashway St
Conroe, TX 773859704
📞 7139076719
Mailing address
602 W Semands St
Conroe, TX 773011867
📞 9367565598

Specialties

  • Pediatrics Primary
    Medical toxicologists are physicians that specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical...
    TX license #323378 taxonomy 2080T0002X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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