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Mr. Benjamin Levi Wallace, FNP-C
Family Nurse Practitioner in Huntsville, Texas
NPI 1962913293

Benjamin Levi Wallace is a Family Nurse Practitioner based in Crockett, TX and is specialized in Family. Benjamin Levi Wallace practices in Huntsville, TX and has the professional credentials of FNP-C. The NPI Number for Benjamin Levi Wallace is 1962913293 and holds a License No. AP134640 (Texas).

The current practice location address for Benjamin Levi Wallace is 264 Fm 3478 Rd, Huntsville, TX and can be reached out via phone at 936-291-4200.

Location: 264 Fm 3478 Rd, Huntsville, TX, 75835-5555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962913293
Provider Name
Benjamin Levi Wallace
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
264 Fm 3478 Rd, Huntsville, TX, 75835-5555
Phone Number
936-291-4200
Fax Number
Provider Enumeration Date
10/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
264 Fm 3478 Rd
City
Huntsville
State
Texas
Zip
77320-3322
Phone Number
936-291-4200
Fax Number
person
Provider Business Mailing Address Details
Address
264 Fm 3478 Rd
City
Huntsville
State
Texas
Zip
77320-3322
Phone Number
936-291-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP134640 (Texas)
Definition
Definition to come...
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