CRAIGREON LEVAR WALLACE

DALLAS, TX
NPI1952386815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA06903)
Enumeration Date2005-12-13
Last Update Date2019-08-29
Business Address
CRAIGREON LEVAR WALLACE PA
6201 HARRY HINES BLVD
DALLAS, TX 75235
Phone number: 214-648-3111
Mailing Address
CRAIGREON LEVAR WALLACE PA
PO BOX 845347
DALLAS, TX 75284-7208
Phone number:
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