Rafaella Wallace is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Rafaella Wallace practices with Texas Oncology PA.
Registry record (NPPES)
NPI
1821469107
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
500 S Henderson St Ste 200
Enumerated
Oct 13, 2015
Record last updated
Dec 1, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
6500 Harris PkwyFort Worth , TX 76132
More nurse practitioners in Fort Worth
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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