Wallace Edward Brunson in Houston - General Practice
Wallace Edward Brunson - NPI 1093883936
Wallace Edward Brunson is a General Practice in Houston, Texas. Wallace Edward Brunson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wallace Edward Brunson is 1093883936. The last update date is 2015-09-04.
Wallace Edward Brunson's current location address is 1314 Chardonnay Dr, Houston, Texas. You can contact this provider via phone number 5056909881. The mailing address for Wallace Edward Brunson is 1314 Chardonnay Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Edward Brunson |
|---|---|
| Address | 1314 Chardonnay Dr, Houston, Texas |
| Phone Number | 5056909881 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093883936 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2015-09-04 |
Provider Mailing Address Detail
| Address | 1314 Chardonnay Dr |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770773102 |
| Phone Number | 5056909881 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | NM1827 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Wallace Edward Brunson by the Centers for Medicare & Medicaid Services?
The Wallace Edward Brunson has been assigned the NPI (National Provider Identifier) 1093883936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wallace Edward Brunson located?
The Wallace Edward Brunson is located at 1314 Chardonnay Dr, Houston, TX 770773102.
What is the area of specialization for Wallace Edward Brunson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Edward Brunson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093883936 to Wallace Edward Brunson?
The Wallace Edward Brunson received its 1093883936 assignment from the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information pertaining to Wallace Edward Brunson most recently updated or revised?
The details related to Wallace Edward Brunson, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-04.