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
Phone: (281) 758-0092
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700068020 | NPPES |
Texas | Other | PA02519 | LICENSE |
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