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REGINALD WALLACE PA-C
NPI 1265779441
Physician Assistant - Medical in Stafford, TX

Active since January 08, 2013
12603 SOUTHWEST FWY, SUITE 335, STAFFORD, TX 77477(713) 398-7337 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reginald Wallace Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD WALLACE PA-C (NPI 1265779441) is an individual medical provider in Stafford, Texas, licensed in Texas (PA02096) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1265779441
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameREGINALD WALLACECredential: PA-C
Location Address12603 SOUTHWEST FWY, SUITE 335Stafford, TX 77477-3820
Mailing Address3231 Truesdale DrMissouri City, TX 77459-4947 · (713) 398-7337
Phone(713) 398-7337
Sole ProprietorNo
Enumeration DateJanuary 8, 2013
✔ NPI 1265779441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA02096
12603 SOUTHWEST FWY, Stafford, TX 77477
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM HENRY READING M.D.
Psychiatry & Neurology (Psychiatry)
12603 SOUTHWEST FWY, SUITE 510
STAFFORD, TX 77477
Fort Bend County (281) 494-4471
BONO CARE EMS INC
Ambulance (Land Transport)
12603 SOUTHWEST FWY, 635
STAFFORD, TX 77477
Fort Bend County (713) 816-0771
TRITON AQUATIC AND LAND THERAPIES, LLC
Physical Therapist
12603 SOUTHWEST FWY, SUITE 100
STAFFORD, TX 77477
Fort Bend County (281) 495-8258
BEMA HEALTHCARE INC
Home Health
12603 SOUTHWEST FWY, SUIT 285
STAFFORD, TX 77477
Fort Bend County (281) 313-6150
NEHA AGRAWAL PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12603 SOUTHWEST FWY
STAFFORD, TX 77477
Fort Bend County (281) 269-6714
DR. DAMIEN RYINN FISHER PHARMD.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12603 SOUTHWEST FWY, SUITE 335
STAFFORD, TX 77477
Fort Bend County (281) 269-6713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reginald Wallace's NPI number?

The NPI number for Reginald Wallace is 1265779441. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Reginald Wallace located?

Reginald Wallace practices at 12603 Southwest Fwy Suite 335, Stafford, TX 77477. The listed phone number is (713) 398-7337.

What is Reginald Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Reginald Wallace was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.