| Ms Mollee Johansen Wallace, PA-C | |
|
1925 W John Carpenter Fwy, Irving, TX 75063-3224 | |
| (972) 292-7158 | |
| (877) 292-2247 |
| Full Name | Ms Mollee Johansen Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1925 W John Carpenter Fwy, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700068020 | NPI | - | NPPES |
| PA02519 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02519 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA02159 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mollee Johansen Wallace, PA-C 1925 W John Carpenter Fwy, Irving, TX 75063-3224 Ph: (972) 292-7158 | Ms Mollee Johansen Wallace, PA-C 1925 W John Carpenter Fwy, Irving, TX 75063-3224 Ph: (972) 292-7158 |
Mr. Ben Ray Graham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8100 | |
Amanda Cottrell, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 N Macarthur Blvd Ste 100, Irving, TX 75061 Phone: 972-438-4636 Fax: 972-438-2077 | |
Brenda H. Rudd, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd, Bldg. 2, Suite 350, Irving, TX 75039 Phone: 972-556-1616 Fax: 972-556-1740 | |
Leah Marie Svor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5910 N Macarthur Blvd, Ste 133, Irving, TX 75039 Phone: 972-554-8494 | |
Makenzie Sangalli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2851 W Interstate Hwy 635, Irving, TX 75063 Phone: 214-496-0820 Fax: 214-496-0425 | |
Amanda C Norton, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8100 | |
Shruti Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6500 Sierra Dr Ste 150, Irving, TX 75039 Phone: 972-443-5300 Fax: 972-432-0498 |