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

Mr. James Kenneth Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1912014838

Mr. James Kenneth Wallace, CRNA is a Certified Registered Nurse Anesthetist in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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

703 E Marshall Ave Ste 2000
Longview, TX 75601-5500
Phone: (903) 315-5300
Fax: (903) 315-5301
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 228579 (TX)

Record details

NPI number1912014838
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESJune 4, 2012

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