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

Mr. Roy Erickson Wallace, PA

Individual provider Physician Assistant · NPI 1134191885

Mr. Roy Erickson Wallace, PA is a Physician Assistant in Tamc, Hawaii. Registered with an NPI since 2006.

In the registry since
2006
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

1 Jarrett White Rd Tamc Personnel Division
Tamc, HI 96859-5001
Phone: (808) 433-1790
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1134191885
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESJuly 13, 2026

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