Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wallace Sports Medicine PA

Organization Orthopaedic Surgery Physician · NPI 1770823213

Wallace Sports Medicine PA is an Orthopaedic Surgery Physician in Rockwall, Texas. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2313 Ridge Rd Ste 105B
Rockwall, TX 75087-5141
Phone: (972) 722-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1770823213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Wallace — President · (972) 722-4830
Other names Wallace Sports Medicine
NPI enumeratedFebruary 20, 2013
Last updated in NPPESMarch 27, 2013
Mailing address8440 Walnut Hill Ln, Suite 120, Dallas, TX 75231-3833

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