Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juanetta Wallace

Individual provider Surgical Assistant · NPI 1629848502

Juanetta Wallace is a Surgical Assistant in Seabrook, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3101 Nasa Pkwy Ste F
Seabrook, TX 77586-6475
Phone: (832) 932-5787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 195708

Record details

NPI number1629848502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address3101 Nasa Pkwy Ste F, Seabrook, TX 77586-6475

Other providers in Seabrook