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Ashley Wallace is one of 1,633 nurse practitioners practicing in San Antonio, Texas .
Ashley Wallace practices with Wellmed Medical Group PA.
Registry record (NPPES)
NPI
1679133573
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Address on file
1400 8th Ave Fort Worth, TX 76104-4110 (817) 922-4630
Enumerated
Jun 13, 2019
Record last updated
Apr 7, 2020
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
San Antonio , TX 78257
(210) 617-4706
19500 IH 10
San Antonio , TX 78257
19500 IH 10 Ms 1 5030 Attn Corporate Credentialing
San Antonio , TX 78257
6157 NW Loop 410 124 Wellmed At Ingram Park
San Antonio , TX 78238
(210) 523-1411
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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.
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