Individual
CARLISSA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13737 NOEL RD, DALLAS, TX 75240-1331
(504) 460-4894
Mailing address
13737 NOEL ROAD, DALLAS, TX 75240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
03/06/2017
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