Annaliesa Wallace, PA

Physician assistant in Kerrville, Texas · NPI 1255744363

Annaliesa Wallace is one of 31 physician assistants practicing in Kerrville, Texas. Annaliesa Wallace practices with Kerr County OB/GYN Associates, P.A.

Registry record (NPPES)

NPI
1255744363
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
1331 Bandera Hwy
Kerrville, TX 78028-9515
(830) 895-7755
Enumerated
Jun 5, 2014
Record last updated
Mar 10, 2020
License states listed
TX

Medicare (CMS)

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

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  • Full enrollment history
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Practice locations

More physician assistants in Kerrville

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.