Rafaella Izar Wallace is an Adult Health Nurse Practitioner based in Dallas, TX and is specialized in Adult Health. Rafaella Izar Wallace practices in Fort Worth, TX and has the professional credentials of ANP. The NPI Number for Rafaella Izar Wallace is 1821469107 and holds a License No. AP129253 (Texas).
The current practice location address for Rafaella Izar Wallace is 500 S Henderson St Ste 200, Fort Worth, TX and can be reached out via phone at 817-413-1500 and via fax at 817-413-1499. You can also correspond with Rafaella Izar Wallace through the mailing address at PO BOX 911230, DALLAS, TX - 75391-1230 (mailing address contact number: 972-997-8000).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365509402 | 05 | TX | |
| 8449NZ | 01 | TX | BLUE CROSS BLUE SHIELD |
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