Mr. James Kenneth Wallace

CRNA | Nurse Anesthetist

703 E Marshall Ave, Suite 2000, Longview
  Texas, 75601-5500
903-315-5300
May or may not accept Medicare Nurse Anesthetist in Longview, Texas.
Mr. James Kenneth Wallace is a Longview, Texas based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. James Kenneth Wallace is 228579 for Anesthesia Administration in Texas. his current practice location is 703 E Marshall Ave, Suite 2000, Longview. Patients can reach him at 903-315-5300 or can fax him at 903-315-5301. Mr. James Kenneth Wallace is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1912014838.
Mr. James Kenneth Wallace 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:
Mr. James Kenneth Wallace 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
Gender:Male
Practice Address:703 E Marshall Ave, Suite 2000, Longview,
Texas, 75601-5500
Phone:903-315-5300
Fax:903-315-5301
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.
NPI Number: 1912014838
NPI Enumeration Date: 24 Aug, 2006
NPI Last Update On: 04 Jun, 2012

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. James Kenneth Wallace are as mentioned below.
License NumberSpecializationStateStatus
228579Anesthesia Administration TexasPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 195 W 1st St,
Rusk, Texas
Zip: 75785-1201
Phone Number: 903-683-2676
Fax Number: 903-315-5301
Patients can reach Mr. James Kenneth Wallace at 703 E Marshall Ave, Suite 2000, Longview, Texas or can call to book an appointment on 903-315-5300.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.