WALLACE SPORTS MEDICINE
NPI 1770823213
Orthopaedic Surgery in Rockwall, TX

Active since February 20, 2013
2313 RIDGE RD STE 105B, ROCKWALL, TX 75087(972) 722-4830 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE SPORTS MEDICINE (NPI 1770823213) is a healthcare organization registered as an orthopaedic surgery in Rockwall, Texas and active in the NPI registry since February 2013. The organization lists Jeffrey Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1770823213
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameWALLACE SPORTS MEDICINE PA
Location Address2313 RIDGE RD STE 105BRockwall, TX 75087-5141
Mailing Address8440 Walnut Hill Ln, Suite 120Dallas, TX 75231-3833 · (214) 506-2610
Organization SubpartNo
Authorized OfficialJeffrey WallacePresident · (972) 722-4830
Enumeration DateFebruary 20, 2013
Last NPPES UpdateMarch 27, 2013
NPI 1770823213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2313 RIDGE RD STE 105B, Rockwall, TX 75087

Other Names 1

Doing Business AsWallace Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Sports Medicine PA's NPI number?

The NPI number for Wallace Sports Medicine PA is 1770823213. It was assigned to this organization in the NPPES registry on February 20, 2013. The provider is doing business as Wallace Sports Medicine.

Where is Wallace Sports Medicine PA located?

Wallace Sports Medicine PA is located at 2313 Ridge Rd Ste 105B, Rockwall, TX 75087. The listed phone number is (972) 722-4830.

What is Wallace Sports Medicine PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Wallace Sports Medicine PA was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.