PHYLLIS MARIE WALLACE

HOUSTON, TX
NPI1679708556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP117949)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  561885)
Enumeration Date2009-05-21
Last Update Date2015-06-23
Business Address
-- PHYLLIS MARIE WALLACE CRNA
6560 FANNIN ST SUITE 600
HOUSTON, TX 77030-2761
Phone number: 713-796-0500
Mailing Address
-- PHYLLIS MARIE WALLACE CRNA
105 E. SHERWOOD DR.
ALVIN, TX 77511
Phone number: 832-621-6220