Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONYA MICHELLE WALLACE, LVN
ActiveTONYA MICHELLE WALLACE, LVN is a Medical Toxicology (Pediatrics) healthcare provider located in CONROE, Texas. NPI 1609354786 is currently active in the NPPES registry. Verify at CMS.
Medical Toxicology (Pediatrics) · CONROE, TX
Registration Details
- NPI Number
- 1609354786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2018 (7.8501092770534 yrs)
- Last Updated
- Aug 1, 2018
- License
-
323378 (TX)
Practice Information
- Address
-
1401 ASHWAY STCONROE, TX, 773859704Browse TX providers · Browse ZIP 77385
- Phone
- 7139076719
- Primary Specialty
-
Medical Toxicology (Pediatrics)
2080T0002X
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.