Annaliesa Wallace (NPI# 1255744363, PAC ID# 8022230358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1255744363 |
PAC ID by PECOS | 8022230358 |
Professional Enrollment ID | I20141120002029 |
Full Name | Annaliesa Wallace |
Organization Legal Name | KERR COUNTY OB/GYN ASSOCIATES, P.A. |
Address |
708 Hill Country Dr Suite 300a Kerrville TX 78028-6079 |
Phone Number | 8308957755 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9032019146 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450007 | PETERSON REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
708 Hill Country Dr, Suite 300a, Kerrville, TX 78028-6079 | 8308957755 | KERR COUNTY OB/GYN ASSOCIATES, P.A. |
Organization Legal Name | KERR COUNTY OB/GYN ASSOCIATES, P.A. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nancy Ellen Morris | Nurse Practitioner | Kerr County Ob/gyn Associates, P.a. | 708 Hill Country Dr, Suite 300a, Kerrville, TX 78028-6079 |
Melissa G Wampler | Obstetrics/gynecology | Kerr County Ob/gyn Associates, P.a. | 708 Hill Country Dr, Suite 300a, Kerrville, TX 78028-6079 |
Street Address |
708 HILL COUNTRY DR SUITE 300A |
City | KERRVILLE |
State | TX |
Zip | 78028-6079 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dale E Mohar | Allergy/immunology | 708 Hill Country Dr, Suite 400, Kerrville, TX 78028-6071 | |
Tobin Brett Tilley | Optometry | Tilley Eye Care Centers LLC | 708 Hill Country Dr, Suite 100, Kerrville, TX 78028-6071 |
Nancy Ellen Morris | Nurse Practitioner | Kerr County Ob/gyn Associates, P.a. | 708 Hill Country Dr, Suite 300a, Kerrville, TX 78028-6079 |
Huong-trinh T Arrieta | Optometry | Tilley Eye Care Centers LLC | 708 Hill Country Dr, Suite 100, Kerrville, TX 78028-6071 |
Matthew J Wayner | Ophthalmology | 708 Hill Country Dr, Suite 300b, Kerrville, TX 78028-6079 | |
Melissa G Wampler | Obstetrics/gynecology | Kerr County Ob/gyn Associates, P.a. | 708 Hill Country Dr, Suite 300a, Kerrville, TX 78028-6079 |
Phillip A Whitehead | Optometry | Tilley Eye Care Centers LLC | 708 Hill Country Dr, Suite 100, Kerrville, TX 78028-6071 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelsey Marie Jones | Chiropractic | 1416 Sidney Baker St, Kerrville, TX 78028-2725 | |
Karen Lynn Conner | Clinical Psychologist | 419 Leland St, Kerrville, TX 78028-3112 | |
Cynia D Menzik | Nurse Practitioner | Hill Country Community Mhmr Center | 955 Water St, Kerr Co Mental Hlth Ctr, Kerrville, TX 78028-3508 |
Jennifer Elizabeth Parmerter | Nurse Practitioner | Hill Country Community Mhmr Center | 955 Water St, Kerr Co Mental Hlth Ctr, Kerrville, TX 78028-3508 |
Eugene N Clayton Iii | Pain Management | 1001 Water St, Kerrville, TX 78028-3513 | |
Sylvester G Ramirez | Otolaryngology | 1001 Water St, Suite D 100, Kerrville, TX 78028-3513 | |
David R Miloy | Internal Medicine | 1411 Water St, Kerrville, TX 78028-3547 | |
Celine B Ord | Radiation Oncology | Hill Country Center for Cancer Care | 1001 Water St, Suite 100, Kerrville, TX 78028-3569 |
Douglas E Wright | Gastroenterology | Douglas E Wright, Md, Pa | 1001 Water St, Suite E 200, Kerrville, TX 78028-3572 |
Mistie Kocurek | Nurse Practitioner | Douglas E Wright, Md, Pa | 1001 Water St, Suite E 200, Kerrville, TX 78028-3572 |
Find all physicians in zip 78028 |
City | KERRVILLE |
Zip Code | 78028 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | KERRVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Annaliesa Wallace.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.