MRS. MAUREEN KAY WALLACE RNFA NPI 1952424525

NPI Information

  • NPI: 1952424525
  • Provider Name: MRS. MAUREEN KAY WALLACE, RNFA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 6624 FANNIN ST
    SUITE 2400
    HOUSTON, TX
    ZIP 77030
  • Phone: (713) 790-9151

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NPI Details

MRS. Maureen Kay Wallace, RNFA is a surgical physician assistant in Houston, TX. MRS. Maureen Kay Wallace, RNFA NPI is 1952424525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6624 FANNIN ST
SUITE 2400
HOUSTON, TX
ZIP 77030-312
Phone: (713) 790-9151
Fax: (713) 790-0927

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical579570TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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