IndividualActive
Tonya Wallace, LVN
NPI 1609354786 · Pediatric Medical Toxicology Physician · Conroe, TX
Provider details
- NPI number
- 1609354786
- Entity type
- Individual
- Primary specialty
- Pediatric Medical Toxicology PhysicianAllopathic & Osteopathic Physicians
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- 323378 (TX)
Mailing address
602 W Semands St
Conroe, TX 77301-1867
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.