Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES KENNETH WALLACE, CRNA
Active Sole ProprietorMR. JAMES KENNETH WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LONGVIEW, Texas. NPI 1912014838 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LONGVIEW, TX
Registration Details
- NPI Number
- 1912014838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.953467104151 yrs)
- Last Updated
- Jun 4, 2012
- License
-
228579 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
703 E MARSHALL AVESUITE 2000LONGVIEW, TX, 756015500Browse TX providers · Browse ZIP 75601
- Phone
- 9033155300
- Fax
- 9033155301
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| DAVID W MALY | CRNA | 1831194885 |
| MR. GREGORY HAYS HARRIS | C.R.N.A. | 1619963667 |
| ZACKARY GENE LISTER | C.R.N.A. | 1336196443 |
| BILLY RICHARD MCCRACKEN | C.R.N.A. | 1598712606 |
| MR. DAVID AARON BARKER | C.R.N.A. | 1760421838 |
| JOHN WILLIAM COX | CRNA | 1699714493 |
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.