P Praxis·MD
● Active Type 1 · Individual

Lucy Brooks Wallace, M.D.

Surgery·Dallas, TX· NPI 1770787566 · Enumerated 2007 · 18 years on NPI
Wallace is 1 of 48 surgery providers in Dallas and 1 of 223 in Texas.
NPI age
18 years
Enumerated 2007-06-13
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 223 active surgery providers in Texas.

NPI age
18 years
≈ at median (18 yr)
State licenses
2 states
Top 67% — 32% of peers are multi-state
Subspecialties
2
In the 61% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3410 Worth St Ste 160
Dallas, TX 752462092
📞 2148269797fax 9729960465
Mailing address
Po Box 911230
Dallas, TX 753911230
📞 9729978000fax 9722340813

Specialties

  • Surgery Primary
    A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major...
    TX license #N4832 taxonomy 2086X0206X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #N4832GA license #77806 taxonomy 208600000X
  • 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...
    TX license #N4832 taxonomy 2086S0127X

Identifiers

TypeValueNotes
05 (GA) 003193207A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 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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