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PHYLLIS WALLACE, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1679708556IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

561885(TX)
Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

AP117949(TX)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2008

Contact & Hours

Address
6560 FANNIN ST, SUITE 600
HOUSTON, TX 77030

Quick Facts

NPI
1679708556
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
18

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