Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY SCOTT WALLIS, CRNA
ActiveMR. GREGORY SCOTT WALLIS, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in NACOGDOCHES, Texas. NPI 1376698290 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · NACOGDOCHES, TX
Registration Details
- NPI Number
- 1376698290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2007 (19.569759747001 yrs)
- Last Updated
- Nov 4, 2014
- License
-
630401 (TX)
Practice Information
- Address
-
1204 N MOUND STNACOGDOCHES, TX, 759614027Browse TX providers · Browse ZIP 75961
- Phone
- 9365688444
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in NACOGDOCHES, TX
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD ZAPATA | CRNA | 1851396410 |
| MS. NANCY JOANNE BATZLOFF | CRNA | 1093710659 |
| MR. RONALD ANTHONY FREELAND | C.R.N.A. | 1174590442 |
| ROBERT R MCMINN JR. | CRNA | 1942264908 |
| MICHAEL SHANE BREWTON | CRNA | 1598790719 |
| MR. JERRY L MIXON | CRNA | 1306945944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.