Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annaliesa Wallace, PA

Individual provider Medical Physician Assistant · NPI 1255744363

Annaliesa Wallace, PA is a Physician Assistant in Kerrville, Texas. Qualified in 2013, 13 years ago. Practices with Kerr County OB/GYN Associates, PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1331 Bandera Hwy Ste 2
Kerrville, TX 78028-9515
Phone: (830) 895-7755
Fax: (830) 895-7757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA09066 (TX)

Record details

NPI number1255744363
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kerr County Ob/Gyn Associates, P.A. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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