Phyllis Marie Wallace is a Houston, Texas based nurse anesthetist with 17 years of experience as Nurse Anesthetist. She completed she graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Phyllis Marie Wallace is AP117949 for Anesthesia Administration in Texas. Her current practice location is 6560 Fannin St, Suite 600, Houston. Patients can reach her at 713-796-0500. Phyllis Marie Wallace is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1679708556. Phyllis Marie 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:
Phyllis Marie 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:
Nurse Anesthetist
Credentials:
CRNA
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
6560 Fannin St, Suite 600, Houston, Texas, 77030-2761
Phone:
713-796-0500
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:
9335292671
Enrollment ID:
I20090804000094
NPI Number:
1679708556
NPI Enumeration Date:
21 May, 2009
NPI Last Update On:
23 Jun, 2015
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phyllis Marie Wallace are as mentioned below.
License Number
Specialization
State
Status
AP117949
Anesthesia Administration
Texas
Primary
561885
Registered Nurse
Texas
Secondary
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 Phyllis Marie Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mint Anesthesia, Pllc (3072828342)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
105 E. Sherwood Dr., Alvin, Texas
Zip:
77511
Phone Number:
832-621-6220
Fax Number:
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Patients can reach Phyllis Marie Wallace at 6560 Fannin St, Suite 600, Houston, Texas or can call to book an appointment on 713-796-0500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.