Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIGREON LEVAR WALLACE, PA
ActiveCRAIGREON LEVAR WALLACE, PA is a Medical Physician Assistant healthcare provider located in DALLAS, Texas. NPI 1952386815 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DALLAS, TX
Registration Details
- NPI Number
- 1952386815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2005 (20.633170049969 yrs)
- Last Updated
- Aug 29, 2019
- License
-
PA06903 (TX)
Practice Information
- Address
-
6201 HARRY HINES BLVDDALLAS, TX, 75235Browse TX providers · Browse ZIP 75235
- Phone
- 2146483111
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| JILL S WEINGER | PA | 1114910742 |
| SARAH A GAGLIANO | PA | 1912990557 |
| KAYLYNN C YOUNG | PA | 1750374203 |
| MS. SHANNON R MAHONEY | PA-C | 1093700858 |
| MS. MINDY GREENBERG | PA-C, MS | 1386625945 |
| MARVIN EARL KING | PA-C | 1306829726 |
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.