| Reginald Wallace, PA-C | |
|
12603 Southwest Fwy, Suite 335, Stafford, TX 77477-3820 | |
| (713) 398-7337 | |
| Not Available |
| Full Name | Reginald Wallace |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 12603 Southwest Fwy, Stafford, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265779441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA02096 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Wallace, PA-C 3231 Truesdale Dr, Missouri City, TX 77459-4947 Ph: (713) 398-7337 | Reginald Wallace, PA-C 12603 Southwest Fwy, Suite 335, Stafford, TX 77477-3820 Ph: (713) 398-7337 |
Santos Javier Zelaya, LSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3814 Grand Promenade Ln, Stafford, TX 77477 Phone: 281-653-2924 | |
Zemorah Israel, LSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 Nina Ln, Stafford, TX 77477 Phone: 800-801-9297 | |
Dr. Okezie Onyebuenyi Ukegbu, PA; DC Physician Assistant Medicare: Medicare Enrolled Practice Location: 630 Murphy Rd Ste 112, Stafford, TX 77477 Phone: 281-552-8898 Fax: 281-978-2690 | |
Yessica Salas-chavez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12250 S Kirkwood Rd Apt 734, Stafford, TX 77477 Phone: 281-837-9709 | |
Miss Michelle Lastrapes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12603 Southwest Fwy Ste 335, Stafford, TX 77477 Phone: 281-269-6701 |