Registry record
- NPI
- 1104130426
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 3142 Horizon Rd Ste 209
Rockwall, TX 75032 - Phone
- 9727712018
- In the registry since
- July 28, 2010
- Last NPPES update
- September 9, 2019
- Sole proprietor
- No
- License
- PA06792 (TX)
At this location
2 other providers in our data list 3142 Horizon Rd Ste 209, Rockwall as a practice address:
- Elizabeth Bellomy, MSN, FNP-C
Family Nurse Practitioner · NPI 1780245837
- Shawn Holloway, FNP
Family Nurse Practitioner · NPI 1699192674
In context
The NPI number of Brenda Wallace is 1104130426. They are a Physician Assistant in Rockwall, Texas.
Brenda Wallace is one of 47 Physician Assistants in Rockwall and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 15 years, since July 28, 2010.
Frequently asked questions
What is NPI 1104130426?
NPI 1104130426 is the 10-digit National Provider Identifier assigned to Brenda Wallace, a Physician Assistant practicing in Rockwall, Texas. The record has been in the NPPES registry since July 28, 2010.
How do I verify this provider?
Cross-check NPI 1104130426 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA06792 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as September 9, 2019. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.