Individual provider · Type 1 NPI
Reginald Wallace, PA-C
Medical Physician Assistant · Stafford, TX
NPI number
1265779441
Active
Practice location
12603 Southwest Fwy, Suite 335
Stafford, TX 77477-3820
Mailing address
3231 Truesdale Dr
Missouri City, TX 77459-4947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA02096 (TX) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Bema Healthcare IncHome Health Agency Stafford, TX NPI 1598707309
- Bono Care Ems IncLand Ambulance Stafford, TX NPI 1518232743
- Triton Aquatic and Land Therapies, LLCPhysical Therapist Stafford, TX NPI 1518339076
- Damien Ryinn Fisher, PHARMD.Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Stafford, TX NPI 1871902916
- Neha Agrawal, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Stafford, TX NPI 1740698364
- William Henry Reading, MDPsychiatry Physician Stafford, TX NPI 1205027562
Other medical physician assistant providers in Stafford
About NPI 1265779441
Reginald Wallace, PA-C's National Provider Identifier is 1265779441, issued on Jan 8, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stafford, TX. The record was last updated on Jan 8, 2013.