Emergency Medicine
WALLACE LOCK M.D.
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 Plan acceptance stays unpublished until the practice reports it.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 1437545761 · enumerated 2015-04-14 · record updated 2024-04-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 612 S 12TH ST, FORT SMITH, AR, 72901-4702 (479) 424-3193 Google Maps Apple Maps OpenStreetMap
- Mailing address 111 N 1ST ST, HUGHES, AR, 72348-9100 (901) 481-0927 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License E-10064 AR
- Student in an Organized Health Care Education/Training Program 390200000X
- Emergency Medicine 207P00000X · Primary · License 67669 TN
In this directory
Locations and evidence
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Practice location
FORT SMITH, AR, 729014702
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.