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

Mr. Gregory Scott Wallis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1376698290

Mr. Gregory Scott Wallis, CRNA is a Certified Registered Nurse Anesthetist in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone: (936) 568-8444
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 630401 (TX)

Record details

NPI number1376698290
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESNovember 4, 2014

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