Jason R. Wallace in Austin - Diagnostic Radiology
Jason R. Wallace - NPI 1013028612
Jason R. Wallace is a Diagnostic Radiology in Austin, Texas. Jason R. Wallace practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jason R. Wallace is 1013028612. The last update date is 2018-02-01.
Jason R. Wallace's current location address is 12554 Riata Vista Circle, Austin, Texas. You can contact this provider via phone number 5127955100 and fax number 5127955122. The mailing address for Jason R. Wallace is 12554 Riata Vista Circle, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason R. Wallace |
|---|---|
| Address | 12554 Riata Vista Circle, Austin, Texas |
| Phone Number | 5127955100 |
| Fax Number | 5127955122 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013028612 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2018-02-01 |
Provider Mailing Address Detail
| Address | 12554 Riata Vista Circle |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787276432 |
| Phone Number | 5127955100 |
| Fax Number | 5127955122 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | M9727 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the Jason R. Wallace's unique identification number?
The Jason R. Wallace has been assigned the NPI (National Provider Identifier) Number 1013028612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jason R. Wallace's facilities are geographically located?
The facilities of Jason R. Wallace are physically situated at the following location: 12554 Riata Vista Circle, Austin, TX, 787276432.
What is Jason R. Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason R. Wallace's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When did the Jason R. Wallace receive its 1013028612?
The Jason R. Wallace was issued its 1013028612 on 2006-08-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jason R. Wallace most recently updated or revised?
The details related to Jason R. Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2018-02-01.
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