person
Carla Dennise Wallace, A-GNP-C
Gerontology Nurse Practitioner in Pearland, Texas
NPI 1164122149

Carla Dennise Wallace is a Gerontology Nurse Practitioner based in Pearland, TX and is specialized in Gerontology. Carla Dennise Wallace practices in Pearland, TX and has the professional credentials of A-GNP-C. The NPI Number for Carla Dennise Wallace is 1164122149 and holds a License No. 1095104 (Texas).

The current practice location address for Carla Dennise Wallace is 2421 Copper Sky Dr, Pearland, TX and can be reached out via phone at 409-350-0016.

Location: 2421 Copper Sky Dr, Pearland, TX, 77584-3782
person
Provider Profile Details
NPI Number
1164122149
Provider Name
Carla Dennise Wallace
Credential
A-GNP-C
Provider Entity Type
Individual
Gender
Female
Address
2421 Copper Sky Dr, Pearland, TX, 77584-3782
Phone Number
409-350-0016
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2421 Copper Sky Dr
City
State
Zip
77584-3782
Phone Number
409-350-0016
Fax Number
person
Provider Business Mailing Address Details
Address
2421 Copper Sky Dr
City
State
Zip
77584-3782
Phone Number
409-350-0016
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
1095104 (Texas)
Definition
Definition to come...
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