Search › Texas › Diagnostic 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