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Mrs. Deanna Elena Wallace, PA-C
Medical Physician Assistant in Sugar Land, Texas
NPI 1861631004

Deanna Elena Wallace is a Medical Physician Assistant based in Houston, TX and is specialized in Medical. Deanna Elena Wallace practices in Sugar Land, TX and has the professional credentials of PA-C. The NPI Number for Deanna Elena Wallace is 1861631004 and holds a License No. (Texas).

The current practice location address for Deanna Elena Wallace is 7616 Branford Pl Ste 320, Sugar Land, TX and can be reached out via phone at 819-801-7422.

Location: 7616 Branford Pl Ste 320, Sugar Land, TX, 77034-4509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861631004
Provider Name
Deanna Elena Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
7616 Branford Pl Ste 320, Sugar Land, TX, 77034-4509
Phone Number
819-801-7422
Fax Number
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7616 Branford Pl Ste 320
City
Sugar Land
State
Texas
Zip
77479-3794
Phone Number
819-801-7422
Fax Number
person
Provider Business Mailing Address Details
Address
7616 Branford Pl Ste 320
City
Sugar Land
State
Texas
Zip
77479-3794
Phone Number
819-801-7422
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Texas)
Definition
Definition to come...
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