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

Mrs. Brenda Wallace, PA-C

Individual provider Physician Assistant · NPI 1104130426

Mrs. Brenda Wallace, PA-C is a Physician Assistant in Rockwall, Texas. Qualified in 2010, 16 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3142 Horizon Rd Ste 209
Rockwall, TX 75032-7802
Phone: (972) 771-2018
Fax: (972) 772-4654
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA06792 (TX)

Record details

NPI number1104130426
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2010
Last updated in NPPESSeptember 9, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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