Mary Elise Wallace, MSRD/LD
Registered Dietitian · Rockwall, TX
Mary Elise Wallace, MSRD/LD is a registered dietitian with a practice address in Rockwall, Texas, and NPI 1013451608, issued on Dec 15, 2016. Check the license (Texas DT03189, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Elise Wallace
- Credential
- MSRD/LD
- Primary taxonomy
- Registered Dietitian 133V00000X
- License number
- DT03189 TX
Self-reported in NPPES; status is on the state search - Practice location
- 6705 Heritage Pkwy Ste 104, Rockwall, TX 75087
- Phone
- (972) 412-7700
- Enumerated
- Dec 15, 2016
- Record last updated
- Aug 12, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 6705 Heritage Pkwy Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mary Elise Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license DT03189Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Registered Dietitian providers in Texas
There are 5,099 registered dietitian records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other registered dietitian records in Texas
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Common questions
What is Mary Elise Wallace, MSRD/LD's NPI number?
Mary Elise Wallace, MSRD/LD's National Provider Identifier (NPI) is 1013451608, issued on Dec 15, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Mary Elise Wallace, MSRD/LD located?
The NPPES record lists a practice address at 6705 Heritage Pkwy Ste 104, Rockwall, TX, 75087. Phone: (972) 412-7700. Providers update this record themselves, so call before visiting.
How can I verify Mary Elise Wallace, MSRD/LD's license?
NPPES lists Texas license number DT03189, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.