Brenda Wallis is a Lufkin, Texas based nurse anesthetist with 21 years of experience as Anesthesia Administration. She completed she graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brenda Wallis is 072151 for Anesthesia Administration in Texas. Her current practice location is 505 S John Redditt Dr, Lufkin. Patients can reach her at 936-639-3036 or can fax her at 936-639-3064. Brenda Wallis is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1477579688. Brenda Wallis is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Brenda Wallis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
21+ years
Medical School Attended:
Other
Graduation Year:
2004
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
505 S John Redditt Dr, Lufkin, Texas, 75904-3120
Phone:
936-639-3036
Fax:
936-639-3064
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6507827888
Enrollment ID:
I20041020000633
NPI Number:
1477579688
NPI Enumeration Date:
14 Jul, 2006
NPI Last Update On:
05 Mar, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brenda Wallis are as mentioned below.
License Number
Specialization
State
Status
072151
Anesthesia Administration
Texas
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brenda Wallis has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Deep East Texas Anesthesia (3971906587)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Brenda Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
84275U
Other
Texas
BCBS
84279U
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 151736, Lufkin, Texas
Zip:
75915-1736
Phone Number:
--
Fax Number:
--
Patients can reach Brenda Wallis at 505 S John Redditt Dr, Lufkin, Texas or can call to book an appointment on 936-639-3036.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.