SearchTexasDiagnostic Radiology Physician

Jason Wallace, M.D

NPI 1013028612 · on the registry since 2006

Practice

Address
12554 Riata Vista Circle
Austin, TX 78727
Phone
(512) 795-5100
Fax
(512) 795-5122
Clinicians at this address
8

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Also registered as
Body Imaging Physician
Licence states on file
WA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas