CHRISTINA WALLACE (NPI# 1609409549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609409549 |
Entity Type | Individual |
Full Name | CHRISTINA WALLACE |
Practice Address |
2302 Cambridge Ct N League City TX 77573-5004 |
Practice Telephone | 2818517833 |
Mailing Telephone | 2818517833 |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-11-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP145126 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
1487097937 | Christina Erin Wallace | Acupuncturist | 132 Chatsworth Ave Apt 3a, Larchmont, NY 10538 | 2013-04-15 |
1760944284 | Christina Blair Wallace | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-04-03 |
1932694858 | Christina Wallace | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2018-06-22 |
1548759871 | Christina Wallace | Psychologist | 401 Mcintire Rd Rm 323, Charlottesville, VA 22902-4579 | 2018-05-02 |
1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
1568911675 | Christina Ann Wallace | Nurse Practitioner | 1144 Dublin Rd, Columbus, OH 43215-1039 | 2016-09-30 |
1861811671 | Christina Wallace | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2014-04-09 |
1689954653 | Christina K Wallace | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-08-23 |
1861708679 | Christina Marie Wallace | Pharmacist | 2829 N Lombard St, Portland, OR 97217-6263 | 2010-08-31 |
Street Address |
2302 CAMBRIDGE CT N |
City | LEAGUE CITY |
State | TX |
Zip Code | 77573-5004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
Find all providers in zip 77573 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386253714 | Nicole Bruey-pernell | Nurse Practitioner | 210 Cinnabar Bay Ct, League City, TX 77573-0724 | 2020-07-31 |
1346859444 | Melissa Ann Botard | Nurse Practitioner | 2118 Dublin Dr, League City, TX 77573-4963 | 2020-07-24 |
1316571755 | Amanda Renee Miller | Nurse Practitioner | 2516 Black Skimmer Ct, League City, TX 77573-7773 | 2020-02-25 |
1134770159 | Courtney Nicole Simmons-matthews | Nurse Practitioner | 811 Harvard Pointe Dr, League City, TX 77573-4776 | 2019-09-20 |
1255899399 | Krislyn Boswell | Nurse Practitioner | 204 Grand Creek Dr, League City, TX 77573-2061 | 2019-03-07 |
1093271520 | Christina Rosser | Nurse Practitioner | 4848 Palomar Ln, League City, TX 77573-1586 | 2019-02-20 |
1417412792 | Jennifer Thiessen | Nurse Practitioner | 405 Laddingford Ln, League City, TX 77573-1846 | 2019-01-31 |
1992296255 | Hannah Elizabeth Stevenson | Nurse Practitioner | 2508 Gulf Fwy S # 110, League City, TX 77573-6743 | 2018-05-22 |
1609399922 | Jisha Shiji Thomas | Nurse Practitioner | 3918 Shadow Point Dr, League City, TX 77573-3793 | 2017-07-18 |
1326589292 | Jenesi Gardner | Nurse Practitioner | 2305 Coryell St, League City, TX 77573-2765 | 2017-03-13 |
Find all providers in LEAGUE CITY |
City | LEAGUE CITY |
Zip Code | 77573 |
Please comment or provide details below to improve the information on CHRISTINA WALLACE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.