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

Wallace Urology Inc

Organization Urology Physician · NPI 1316496664

Wallace Urology Inc is an Urology Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1325 Eastmoreland Ave Ste 425
Memphis, TN 38104-7541
Phone: (901) 272-3200
Fax: (901) 278-3441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 015359 (TN)

Record details

NPI number1316496664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Wallace — Medical Doctor · (901) 272-3200
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016
Mailing address1325 Eastmoreland Ave Ste 425, Memphis, TN 38104-7541

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