Individual
ANNA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 CHURCHILL DR STE 100, FLOWER MOUND, TX 75022-2717
(682) 683-2300
(817) 337-6866
Mailing address
3101 CHURCHILL DR STE 100, FLOWER MOUND, TX 75022-2717
(682) 237-7600
(817) 337-6866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1140665
TX
Other
Enumeration date
11/03/2023
Last updated
03/14/2025
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