NAOMI SUSAN WALLACE

TYLER, TX
NPI1013699131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  1128446)
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
NAOMI SUSAN WALLACE NP
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901
Mailing Address
NAOMI SUSAN WALLACE NP
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901