Search › Texas › 101YP2500X
Kerrie Wallace
NPI 1083161558 · on the registry since 2016 · sole proprietor
Practice
- Address
- 12839 Virgo Dr
Willis, TX 77318 - Phone
- (281) 799-5260
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas