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

Individual provider Registered Nurse · NPI 1679708556

Phyllis Marie Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Houston, Texas. Qualified in 2008, 18 years ago. Practices with Mint Anesthesia, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6560 Fannin St Ste 600
Houston, TX 77030-2761
Phone: (713) 796-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP117949 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 561885 (TX)

Record details

NPI number1679708556
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESJune 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mint Anesthesia, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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