Womack, Wallace D

Womack, Wallace D is an individual health care provider with primary practice located at 1204 N Mound St , Nacogdoches TX 75961-4027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Womack, Wallace D can be contacted via phone (936) 568-8525.

Contact Information

Primary practice address
1204 N Mound St Nacogdoches TX 75961-4027
Phone: (936) 568-8525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 688255 Texas

Profile Details

NPI number 1154691327
LBN Legal business name Womack, Wallace D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Oct 13th, 2014 - about 12 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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