Wallace, Craigreon Levar

Wallace, Craigreon Levar is an individual health care provider with primary practice located at 6201 Harry Hines Blvd , Dallas TX 75235. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wallace, Craigreon Levar can be contacted via phone (214) 648-3111.

Contact Information

Primary practice address
6201 Harry Hines Blvd Dallas TX 75235
Phone: (214) 648-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA06903 Texas

Profile Details

NPI number 1952386815
LBN Legal business name Wallace, Craigreon Levar
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 29th, 2019 - about 5 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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