Christopher G. Wallace, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01290 Issued in TX

Practice address

2335 Medical Dr
Pecos, TX 79772-2251

Phone

(432) 447-3551

NPI assigned

Aug 1, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reeves County Hospital DistrictGroup PAC ID 2567353469, 25 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reeves Regional Home Health & Hospice Home health agency, Pecos, TX, CCN 677210
• Reeves Regional Health Hospital, Pecos, TX, CCN 451377

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reeves County Hospital District

  • Family Medicine Physician
  • Pecos, TX
  • NPI 1447417209
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group
• Freedom Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Harker Heights, TX
  • NPI 1104153998
  Medicare reassignment NPD (past)
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment
• Franklin Urgent Care Center LP

  • Specialist
  • Kerrville, TX
  • NPI 1922426246
  Medicare reassignment
• Reeves County Hospital District

  • Home Health Agency
  • Pecos, TX
  • NPI 1154869287
  NPD
• Vein Associates Professional Association

  • Specialist
  • Kerrville, TX
  • NPI 1679787105
  NPD
• Reeves County Hospital District

  • Critical Access Hospital
  • Pecos, TX
  • NPI 1831170273
  NPD (past)
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reeves County Hospital District

  • Home Health Agency
  • Pecos, TX
  • NPI 1154869287
  Care Compare affiliation
• Reeves County Hospital District

  • Critical Access Hospital
  • Pecos, TX
  • NPI 1831170273
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1346528833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MEDICAL DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797722251",
            "telephone_number": "432-447-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 MEDICAL DR",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797722251",
            "telephone_number": "432-447-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CHRISTOPHER",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Supermarkets LLC
• Kristen Suzanne Upchurch, FNP
• Stephen Ray Valenzuela
• Charles Raymond Vaughn
• Wal-Mart Stores Texas LLC
• Raena Jamice Williams, LCSW
• Carla Patricia Winsor, RN
• Won Joo Bang,M.D.P. a.
• Yan Ting Wu

• Physician Assistant in Pecos, TX
• Providers in Pecos, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.