Individual
JEANNINE M WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
929 GESSNER RD STE 2450, HOUSTON, TX 77024-2593
(713) 464-9939
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00446
TX
Other
Enumeration date
07/17/2006
Last updated
12/11/2025
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