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Jason R. Wallace, M.D.

Diagnostic Radiology Physician in Austin, TX · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013028612

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Registry record

Entity type Individual (Type 1)
Name Jason R. Wallace
Credential M.D.
Sex Male
Practice address 12554 Riata Vista Circle, Austin, TX, 78727
Phone (512) 795-5100
Fax (512) 795-5122
Enumeration date Aug 31, 2006
Last updated in NPPES Feb 1, 2018

Taxonomy & licenses

2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians · License MD00046651 (WA) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License M9727 (TX) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jason Wallace?
The National Provider Identifier (NPI) for Jason Wallace is 1013028612, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jason Wallace practice?
The practice location on file with NPPES is in Austin, TX. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-01.