BENJAMIN LEVI WALLACE

HUNTSVILLE, TX
NPI1962913293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP134640)
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
Mr. BENJAMIN LEVI WALLACE FNP-C
264 FM 3478 RD
HUNTSVILLE, TX 77320-3322
Phone number: 936-291-4200
Mailing Address
Mr. BENJAMIN LEVI WALLACE FNP-C
540 PINE ST
CROCKETT, TX 75835-5555
Phone number: 936-222-1358
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