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Search › Texas › 363AM0700X

Reginald Wallace, PA-C

NPI 1265779441 · on the registry since 2013

Practice

Address
12603 Southwest Fwy
Suite 335
Stafford, TX 77477
Phone
(713) 398-7337
Organisation at this address
Utmb
Texas Rehab Llc
Bono Care Ems Inc
Bema Healthcare Inc
Rubies Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas