Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeannine M Wallace, PA-C

Individual provider Physician Assistant · NPI 1457378051

Jeannine M Wallace, PA-C is a Physician Assistant in Houston, Texas. Qualified in 1992, 34 years ago. Practices with Wellmed Medical Group PA, a 664-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
34
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

929 Gessner Rd Ste 2450
Houston, TX 77024-2593
Phone: (713) 464-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 929 Gessner Rd Ste 1500, Houston, TX 77024-2675 — (713) 442-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00446 (TX)

Record details

NPI number1457378051
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Wellmed Medical Group Pa — 664 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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