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Search › Texas › 363AM0700X

Craigreon Wallace, PA

NPI 1952386815 · on the registry since 2005

Practice

Address
6201 Harry Hines Blvd
Dallas, TX 75235
Phone
(214) 648-3111
Organisation at this address
University Of Texas Southwestern Medical Center At Dallas
University Of Texas Southwestern Medical Center At Dallas
University Of Texas Southwestern Medical Center At Dallas
Inferred from a shared address, not stated in the registry.
Clinicians at this address
496

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-29

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