Brunson, Wallace Edward

Brunson, Wallace Edward is an sole proprietor health care provider with primary practice located at 1314 Chardonnay Dr , Houston TX 77077-3102. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brunson, Wallace Edward can be contacted via phone (505) 690-9881.

Contact Information

Primary practice address
1314 Chardonnay Dr Houston TX 77077-3102
Phone: (505) 690-9881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NM1827 New Mexico

Profile Details

NPI number 1093883936
LBN Legal business name Brunson, Wallace Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Sep 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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