Wallace, Mollee Johansen

Wallace, Mollee Johansen is an individual health care provider with primary practice located at 26265 Northwest Fwy , Cypress TX 77429-1760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wallace, Mollee Johansen can be contacted via phone (281) 758-0092.

Contact Information

Primary practice address
26265 Northwest Fwy Cypress TX 77429-1760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02519 Texas

Profile Details

NPI number 1700068020
LBN Legal business name Wallace, Mollee Johansen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Aug 21st, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700068020 NPPES
Texas Other PA02519 LICENSE

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