Organization
CARLA WALLACE NURSE PRACTITIONER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA WALLACE GNP (OWNER)
(409) 350-0016
Entity
Organization
Contact information
Practice address
2421 COPPER SKY DR, PEARLAND, TX 77584-3782
(409) 350-0016
(877) 673-2947
Mailing address
2421 COPPER SKY DR, PEARLAND, TX 77584-3782
(409) 350-0016
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
02/20/2026
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