Individual provider Active NPI

Christopher G. Wallace, PA

  • Physician Assistant
  • Pecos, TX
National Provider Identifier
1346528833
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01290 TX Primary

Addresses

Primary practice location

2335 Medical Dr
Pecos, TX 79772-2251

Mailing address

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040629001606 TX Practitioner - Physician Assistant 6204812175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772-7338

520 E 6TH St
Odessa, TX 79761-4527
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Urgent Care PLLC CurrentSince Apr 7, 2020 Accepting new patients
Reeves County Hospital District CurrentSince Oct 30, 2023 Accepting new patients
Reeves County Hospital District CurrentSince Oct 30, 2023 Accepting new patients
Vein Associates Professional Association Current Accepting new patients
Reeves County Hospital District Past Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

723 Hill Country Dr
Ste C
Kerrville, TX 78028
Phone (830) 792-5800

300 W Central Texas Expy
Ste 115
Killeen, TX 76548
Phone (254) 383-2481

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2335 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

2335 Medical Dr
Ste Rhc
Pecos, TX 79772

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

Organizations & group practices 10

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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": []
}

Other providers in Pecos, TX

Sources for this page

Verify at the official NPI Registry.