Wallis, Gregory Scott

Wallis, Gregory Scott is an individual health care provider with primary practice located at 1204 N Mound St , Nacogdoches TX 75961-4027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wallis, Gregory Scott can be contacted via phone (936) 568-8444.

Contact Information

Primary practice address
1204 N Mound St Nacogdoches TX 75961-4027
Phone: (936) 568-8444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 630401 Texas

Profile Details

NPI number 1376698290
LBN Legal business name Wallis, Gregory Scott
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 4th, 2014 - about 10 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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