CAMMI ANN KASSIE WALLS


Address: 105 Mossridge, Universal City, TX 78148-3516
Phone: 3604772634

CAMMI ANN KASSIE WALLS (NPI# 1104425461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104425461
Entity Type Individual
Full Name CAMMI ANN KASSIE WALLS
Credential RN
Practice Address 105 Mossridge
Universal City
TX 78148-3516
Practice Telephone 3604772634
Mailing Telephone 3604772634
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
1015876 TX Nursing Service Providers

Office Location

Street Address 105 MOSSRIDGE
City UNIVERSAL CITY
State TX
Zip Code 78148-3516

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NPI Name Taxonomy Address Enumeration
1518571579 Lisandra Sanchez Valdes Behavioral Analyst 165 Palisades Dr. Apt 407, Universal City, TX 78148 2020-09-06
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1114417748 Kiana Jade Whitlock Behavior Technician 122 West Lindbergh Blvd, Universal City, TX 78148 2018-05-18
1477068427 Smile Workshop Universal City, Pllc Dentist 520 Kitty Hawk Dr, Universal City, TX 78148 2017-12-12
1891209383 Advanced Health Chiropractic Chiropractor 433 Kitty Hawk Rd. Ste.#111, Building #1, Universal City, TX 78148 2017-11-20
1528572013 Brandon U Pounds Chiropractor 433 Kitty Hawk Rd. Ste. #111, Building #1, Universal City, TX 78148 2017-11-20
1528514403 Tu'sheila E Stewart Counselor 512 S. Bowie, Universal City, TX 78148 2016-08-30
1275878670 Metx LLC Audiologist-Hearing Aid Fitter 918 Coronado Blvd, Universal City, TX 78148 2012-12-11
1790044139 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Randolph Afb Bldg. 1068, Universal City, TX 78148 2012-05-04
1154496354 Thomas H Holmes Dentist 2202 Universal City Blvd, Universal City, TX 78148 2006-11-22
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City UNIVERSAL CITY
Zip Code 78148

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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