BRENDA WALLACE

ROCKWALL, TX
NPI1104130426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA06792)
Enumeration Date2010-07-28
Last Update Date2019-09-09
Business Address
Mrs. BRENDA WALLACE PA-C
3142 HORIZON RD STE 209
ROCKWALL, TX 75032-7802
Phone number: 972-771-2018
Mailing Address
Mrs. BRENDA WALLACE PA-C
3142 HORIZON RD STE 209
ROCKWALL, TX 75032-7802
Phone number: 972-771-2018