Registry record
- NPI
- 1265779441
- Profession
- Physician Assistant (PA)
- Specialty
- Medical Physician Assistant (363AM0700X)
- Practice address
- 12603 Southwest Fwy, Suite 335
Stafford, TX 77477 - Phone
- 7133987337
- In the registry since
- January 8, 2013
- Last NPPES update
- January 8, 2013
- Sole proprietor
- No
- License
- PA02096 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Reginald Wallace is 1265779441. They are a Medical Physician Assistant in Stafford, Texas.
Reginald Wallace is one of 2 Medical Physician Assistants in Stafford and one of 2,844 across Texas in our data.
The NPI has been in the federal registry for 13 years, since January 8, 2013.
Frequently asked questions
What is NPI 1265779441?
NPI 1265779441 is the 10-digit National Provider Identifier assigned to Reginald Wallace, a Medical Physician Assistant practicing in Stafford, Texas. The record has been in the NPPES registry since January 8, 2013.
How do I verify this provider?
Cross-check NPI 1265779441 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA02096 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 January 8, 2013. 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.