BRIAN WALLACE, N.P.

Nurse Practitioner - Primary Care

Active Individual
NPI: 1457561615

Practice Address

1910 ROSELAND BLVD
Tyler, TX 75701

Phone: (903) 533-0644

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes RN 169685C (CO)

Frequently Asked Questions

NPI 1457561615 is the National Provider Identifier for BRIAN WALLACE, N.P., a Nurse Practitioner - Primary Care provider located in Tyler, TX. This NPI was enumerated on May 23, 2007.
BRIAN WALLACE, N.P. practices at 1910 ROSELAND BLVD, Tyler, TX 75701.

Quick Facts

NPI
1457561615
Type
Individual
Enumerated
May 23, 2007
Last Updated
Mar 12, 2010

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