Individual provider · Type 1 NPI

Phyllis Marie Wallace, CRNA

Certified Registered Nurse Anesthetist · Houston, TX

NPI number 1679708556 Active

Practice location

6560 Fannin St, Suite 600
Houston, TX 77030-2761

Mailing address

105 E. Sherwood Dr.
Alvin, TX 77511

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X561885 (TX)
Certified Registered Nurse Anesthetist Primary 367500000XAP117949 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1679708556

Phyllis Marie Wallace, CRNA's National Provider Identifier is 1679708556, issued on May 21, 2009. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Houston, TX. The record was last updated on Jun 23, 2015.