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James Wallace, CRNA

NPI 1912014838 · on the registry since 2006 · sole proprietor

Practice

Address
703 E Marshall Ave
Suite 2000
Longview, TX 75601
Phone
(903) 315-5300
Fax
(903) 315-5301
Organisation at this address
Cr Martin M D P A
Paul Bradley Md Pllc
Adam J. Yu , M.D,,P.A.
Wood Ob Gyn Associates
Premiere Pediatrics Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-04

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