| Organization Name: | PCDI HEALTHCARE AND CONSULTANTS/ THE WALLACE GROUP |
| NPI Number: | 1326295346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY DE'WAYN'E WALLACE (CEO) |
| Mailing Address: | 638 Cedarcliff Dr Dallas |
| State: | TX US |
| Postal Code: | 752174208 |
| Phone Number: | 9729551911 |
| Fax Number: | 2144674315 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |