Individual
MR. CHRISTOPHER G. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2335 MEDICAL DR, PECOS, TX 79772-2251
(432) 447-3551
Mailing address
2349 MEDICAL DR, PECOS, TX 79772-2251
(432) 447-3551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01290
TX
Other
Enumeration date
08/01/2011
Last updated
09/12/2025
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