Radiology, Diagnostic Radiology
JOHN WALLACE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1376030825 · enumerated 2018-04-19 · record updated 2024-09-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2401 S 31ST ST, TEMPLE, TX, 76508-0001 (254) 724-2111 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 844658, DALLAS, TX, 75284-4658 (800) 994-0371 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License MED-RES-LIC-67472 MT
- Radiology, Diagnostic Radiology 2085R0202X · License 69345 AZ
- Student in an Organized Health Care Education/Training Program 390200000X
- Radiology, Diagnostic Radiology 2085R0202X · Primary · License V3136 TX
Locations and evidence
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Practice location
TEMPLE, TX, 765080001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.