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Jack Wallis, MD
NPI 1962484733 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2108 Hunter Rd
Suite 116
San Marcos, TX 78666 - Phone
- (512) 754-7700
- Fax
- (512) 754-0012
- Organisation at this address
- Northland Hearing Centers, Inc
Mccrae Management And Investments, Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Sports Medicine (Family Medicine) Physician
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-14
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