WALLACE D WOMACK

NACOGDOCHES, TX
NPI1154691327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  688255)
Enumeration Date2012-01-05
Last Update Date2014-10-13
Business Address
-- WALLACE D WOMACK CRNA
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
Phone number: 936-568-8525
Mailing Address
-- WALLACE D WOMACK CRNA
2615 COUNTY ROAD 536
NACOGDOCHES, TX 75961-3931
Phone number: 903-312-8658
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