Wallace, Carla Dennise
Wallace, Carla Dennise is an sole proprietor health care provider with primary practice located at 2421 Copper Sky Dr , Pearland TX 77584-3782. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wallace, Carla Dennise can be contacted via phone (409) 350-0016.Contact Information
Primary practice address
2421 Copper Sky Dr
Pearland TX 77584-3782
Phone: (409) 350-0016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1095104 | Texas |
Profile Details
| NPI number | 1164122149 |
|---|---|
| LBN Legal business name | Wallace, Carla Dennise |
| Credentials | A-GNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2023 |
| Last updated | Jun 20th, 2024 - about 5 months 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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