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Ms. Mollee Johansen Wallace, PA-C
Medical Physician Assistant in Irving, Texas
NPI 1700068020

Mollee Johansen Wallace is a Medical Physician Assistant based in Irving, TX and is specialized in Medical. Mollee Johansen Wallace practices in Irving, TX and has the professional credentials of PA-C. The NPI Number for Mollee Johansen Wallace is 1700068020 and holds a License No. PA02519 (Texas).

The current practice location address for Mollee Johansen Wallace is 1925 W John Carpenter Fwy, Irving, TX and can be reached out via phone at 972-292-7158 and via fax at 877-292-2247.

Location: 1925 W John Carpenter Fwy, Irving, TX, 75063-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700068020
Provider Name
Mollee Johansen Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1925 W John Carpenter Fwy, Irving, TX, 75063-3224
Phone Number
972-292-7158
Fax Number
877-292-2247
Provider Enumeration Date
11/28/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA02519 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
1925 W John Carpenter Fwy
City
Irving
State
Texas
Zip
75063-3224
Phone Number
972-292-7158
Fax Number
877-292-2247
person
Provider Business Mailing Address Details
Address
1925 W John Carpenter Fwy
City
Irving
State
Texas
Zip
75063-3224
Phone Number
972-292-7158
Fax Number
877-292-2247
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA02159 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA02519 (Texas)
Definition
Definition to come...
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