REGINALD WALLACE (PA-C) – Medical Physician Assistant, NPI 1265779441

REGINALD WALLACE (PA-C) is a healthcare provider. based in Missouri city, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA02096 (TX). The NPI Number for REGINALD WALLACE (PA-C) is 1265779441

Main info

Male
Name
REGINALD WALLACE (PA-C)
NPI
1265779441
Phone
(713) 398-7337
Address
3231 TRUESDALE DR
Enumeration Date
8 January 2013
Last Update Date
8 January 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for REGINALD WALLACE (PA-C)

  • 3231 TRUESDALE DR

    MISSOURI CITY, TX 774594947

    Phone: (713) 398-7337

    Type: Mailing

  • 12603 SOUTHWEST FWY

    SUITE 335

    STAFFORD, TX 774773820

    Phone: (713) 398-7337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77459)

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Frequently asked questions

What is REGINALD WALLACE (PA-C)'s NPI number?
REGINALD WALLACE (PA-C)'s NPI is 1265779441 — the number used across U.S. healthcare to identify this provider.
Is REGINALD WALLACE (PA-C) shown as active in public data?
Registry records indicate REGINALD WALLACE (PA-C) maintains an active NPI.
How would a patient describe REGINALD WALLACE (PA-C)'s focus?
For REGINALD WALLACE (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with REGINALD WALLACE (PA-C)?
Directory geography for REGINALD WALLACE (PA-C) centers on Missouri City, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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