Tina Gayle Wallace
Tina Gayle Wallace is a Licensed Vocational Nurse in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
755 S Beckham AveTyler, TX 75701-1903
Phone: (903) 534-4684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 349630 (TX) |
|---|
Record details
| NPI number | 1881234219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 14, 2020 |
| Last updated in NPPES | January 14, 2020 |
| Certification date | January 14, 2020 |
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