Jason R. Wallace, M.D.

NPI #1013028612 in Austin, Texas

Provider Information

NPI Number
1013028612
Entity Type
Individual
Name
Jason R. Wallace, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
M.D.
Enumeration Date
Aug 31, 2006
Last Updated
Feb 1, 2018

Practice Location

Address
12554 RIATA VISTA CIRCLE
City
Austin
State
Texas
ZIP Code
78727-6432
Phone
(512) 795-5100

Specialties & Taxonomy Codes

Specialty
Radiology - Body ImagingBody Imaging
Radiology - Diagnostic RadiologyDiagnostic Radiology

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