Anna Wallace, APRN | |
208 N Highway 377, Roanoke, TX 76262-6170 | |
(682) 237-7600 | |
Not Available |
Full Name | Anna Wallace |
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Gender | Female |
Speciality | Family Medicine |
Location | 208 N Highway 377, Roanoke, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033982780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 1140665 (Texas) | Primary |
Entity Name | Dfw Diabetic Relief Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265120240 PECOS PAC ID: 7214382738 Enrollment ID: O20231018001282 |
Mailing Address | Practice Location Address |
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Anna Wallace, APRN 208 N Highway 377, Roanoke, TX 76262-6170 Ph: (682) 237-7600 | Anna Wallace, APRN 208 N Highway 377, Roanoke, TX 76262-6170 Ph: (682) 237-7600 |
Dr. Beau James Ellenbecker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262 Phone: 817-912-8200 Fax: 817-912-8210 | |
Dr. Jeffrey Brad Griffin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262 Phone: 817-491-2564 Fax: 817-491-3420 |