Reginald Wallace, PA-C
Reginald Wallace, PA-C is a Medical Physician Assistant in Stafford, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
12603 SW Fwy Ste 335Stafford, TX 77477-3820
Phone: (713) 398-7337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA02096 (TX) |
|---|
Record details
| NPI number | 1265779441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | January 8, 2013 |
| Last updated in NPPES | January 8, 2013 |
| Mailing address | 3231 Truesdale Dr, Missouri City, TX 77459-4947 |
Other providers in Stafford
-
Miss. Michelle Lastrapes, PA-C
12603 SW Fwy Ste 335, Stafford, TX 77477-3842 · (281) 269-6701