Tammy R Wall, PA-C

Physician assistant in Corpus Christi, Texas · NPI 1245348358

Tammy Wall is one of 92 physician assistants practicing in Corpus Christi, Texas. Tammy Wall practices with Conviva Medical Center Management Of Texas, P.A.

Registry record (NPPES)

NPI
1245348358
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
4254 S Alameda St
Corpus Christi, TX 78412-2469
(361) 853-4191
Enumerated
Aug 28, 2006
Record last updated
Mar 26, 2026
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More physician assistants in Corpus Christi

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.