| Mr Benjamin Levi Wallace, FNP-C | |
|
264 Fm 3478 Rd, Huntsville, TX 77320-3322 | |
| (936) 291-4200 | |
| Not Available |
| Full Name | Mr Benjamin Levi Wallace |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 264 Fm 3478 Rd, Huntsville, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962913293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP134640 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Levi Wallace, FNP-C 540 Pine St, Crockett, TX 75835-5555 Ph: (936) 222-1358 | Mr Benjamin Levi Wallace, FNP-C 264 Fm 3478 Rd, Huntsville, TX 77320-3322 Ph: (936) 291-4200 |
Grace Amah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-3411 | |
Sharmila Pokharel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-3411 | |
Tara Ann Pankey, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Medical Park Ln Ste D, Huntsville, TX 77340 Phone: 936-277-1000 | |
Jennifer Reeves, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Memorial Hospital Dr, Huntsville, TX 77340 Phone: 936-291-2411 | |
Lisa A Rengifo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Medical Park Ln Ste C, Huntsville, TX 77340 Phone: 936-291-3219 Fax: 936-291-7206 | |
Tolani Azizat Rasaki-carrier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Medical Park Ln Ste D, Huntsville, TX 77340 Phone: 936-277-1000 | |
Janet Mehalick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Avenue J, Box 2358, Huntsville, TX 77341 Phone: 936-294-1805 |