Wallace, Deanna Elena
Wallace, Deanna Elena is an individual health care provider with primary practice located at 7616 Branford Pl Ste 320 , Sugar Land TX 77479-3794. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wallace, Deanna Elena can be contacted via phone (819) 801-7422.Contact Information
Primary practice address
7616 Branford Pl Ste 320
Sugar Land TX 77479-3794
Phone: (819) 801-7422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Texas |
Profile Details
| NPI number | 1861631004 |
|---|---|
| LBN Legal business name | Wallace, Deanna Elena |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Jul 28th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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