ANNALIESA WALLACE

KERRVILLE, TX
NPI1255744363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA09066)
Enumeration Date2014-06-05
Last Update Date2020-03-10
Business Address
ANNALIESA WALLACE PA
1331 BANDERA HWY STE 2
KERRVILLE, TX 78028-9515
Phone number: 830-895-7755
Mailing Address
ANNALIESA WALLACE PA
708 HILL COUNTRY DR STE 300A
KERRVILLE, TX 78028-6079
Phone number: 830-895-7755
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