Individual provider · Type 1 NPI

Brenda Wallace, PA-C

Physician Assistant · Rockwall, TX

NPI number 1104130426 Active

Practice location

3142 Horizon Rd Ste 209
Rockwall, TX 75032-7802

Fax (972) 772-4654

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA06792 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104130426

Brenda Wallace, PA-C's National Provider Identifier is 1104130426, issued on Jul 28, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rockwall, TX. The record was last updated on Sep 9, 2019.