Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID MICHAEL WALLACE, D.O.
ActiveDAVID MICHAEL WALLACE, D.O. is a Sports Medicine healthcare provider located in RICHMOND, Texas. NPI 1437349479 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · RICHMOND, TX
Registration Details
- NPI Number
- 1437349479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2007 (19.055166368416 yrs)
- Last Updated
- Feb 27, 2020
- Licenses
-
34-008872 (OH)N0539 (TX)
Practice Information
- Address
-
22001 SOUTHWEST FWY STE 300RICHMOND, TX, 774697001Browse TX providers · Browse ZIP 77469
- Phone
- 2816334940
- Fax
- 2816334943
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in RICHMOND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. NISH SHAH | M.D. | 1255775177 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.