Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417683293 Individual Practitioner Male Practitioner

Allen Wallace

Private Vehicle • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Allen Wallace is a registered healthcare professional specializing in Private Vehicle in Lubbock, TX. Practice services are available at 3506 E 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3506 E 14th St

Lubbock, TX 794036207

Telephone 8067773607

Specialty Benchmarks & Practice Insights

Comparative analytics for Private Vehicle in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lubbock, TX (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-10
Private Vehicle Primary Specialty

NUCC Taxonomy Code: 347C00000X

State License TX 22954496

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Driver

NUCC Taxonomy Code: 172A00000X

State License TX 22954496

A person employed to operate a motor vehicle as a carrier of persons or property.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1417683293 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 10, 2023

Registered at 6923 INDIANA AVE # 335, LUBBOCK, TX 794136111 (Tel: 8064919778)

NPI Profile Active July 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2022

Registered at 3506 E 14TH ST, LUBBOCK, TX 794036207 (Tel: 8067773607)

📍
Updated Business Mailing Address July 25, 2022

Registered at 3506 E 14TH ST, LUBBOCK, TX 794036207 (Tel: 8067773607)

👤
Provider Name / Credentials Updated July 25, 2022

Recorded as ALLEN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Driver (License #22954496 in TX)

🟢
Initial NPI Registration & Enumeration July 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417683293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2022
Last Update: January 10, 2023
Sole Proprietor: Yes

Mailing Address

6923 Indiana Ave # 335

Lubbock, TX 794136111

Phone: 8064919778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.