Cristy L Wallace FNP

NPI 1588959522 - Chiropractor - 111NN1001X

NPI Details
NPI 1588959522
Gender Female
Enumeration Date 06/17/2011
Last Updated 08/13/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
FORT WORTH TX, 76104-7437, US
Phone (817) 332-9966
Fax (817) 332-9977
Business Location
PO BOX 961205
FORT WORTH TX, 76161-0205, US
Phone (817) 740-8400
Fax (817) 378-3699
Taxonomy Code 111NN1001X
License State Texas
License Number 7203
Remove 1588959522 NPI Number

According to our database, Cristy L Wallace FNP NPI is 1588959522, taxonomy code is 111NN1001X and license number is 7203, license state is located at Texas. Cristy L Wallace FNP physically located at 1651 W Rosedale St Ste 205, Fort Worth TX, 76104-7437. NPI Number Cristy L Wallace FNP has the Individual type.

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1588959522 NPI number is provided on an as is basis without warranty of any kind. 1588959522 is maintained by the National Plan & Provider Enumeration System. The contents of Cristy L Wallace FNP are for informational purposes only.