MR. James Kenneth Wallace, CRNA
NPI #1912014838 in Longview, Texas
Provider Information
- NPI Number
- 1912014838
- Entity Type
- Individual
- Name
- MR. James Kenneth Wallace, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Jun 4, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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