Wallace, Melody Elizabeth

Wallace, Melody Elizabeth is an individual health care provider with primary practice located at 2625 Anita Dr , Garland TX 75041. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wallace, Melody Elizabeth can be contacted via phone (972) 926-2671.

Contact Information

Primary practice address
2625 Anita Dr Garland TX 75041
Phone: (972) 926-2671
Fax: (972) 926-2679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0058400601 Texas
Nursing Service Providers / Registered Nurse 163W00000X 163431 Texas

Profile Details

NPI number 1265529937
LBN Legal business name Wallace, Melody Elizabeth
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Sep 20th, 2010 - about 16 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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