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

Lillian Wallace, PA

Individual provider Physician Assistant · NPI 1487497970

Lillian Wallace, PA is a Physician Assistant in Austin, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1601 Trinity St Ste 704-D
Austin, TX 78712-1765
Phone: (512) 324-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1487497970
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1601 Trinity St Ste 704-D, Austin, TX 78712-1765

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