Craigreon Wallace, PA

Individual Active
NPI 1952386815
Medical Physician Assistant Dallas, TX

Craigreon Wallace, PA is a medical physician assistant practicing in Dallas, TX. The NPI was issued on December 13, 2005, and the record was last updated in NPPES on August 29, 2019.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA06903 (TX)

Practice location

6201 Harry Hines Blvd
Dallas, TX 75235
Phone: (214) 648-3111

Local context

Active NPPES records list 424 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 222 of them within 10 miles.

The same primary taxonomy is listed by 2,223 in Texas and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Craigreon Levar Wallace
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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