Dr. David R Wallace Jr., MD
Dr. David R Wallace Jr., MD is a Diagnostic Radiology in Lake Charles, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2010, 16 years ago. Practices with Highland Clinic, a Prof Med Corp, a 60-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Louisiana.
- Years since qualifying
- 16
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- CA, LA
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1800 Ryan St Ste 105Lake Charles, LA 70601-6078
Phone: (337) 439-4706
Fax: (337) 439-8110
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 — (225) 761-5200
- 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5634 — (318) 798-4500
- 1453 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-6810 — (318) 798-4623
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence MD.204718 (LA) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence A136122 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1265743595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 1, 2010 |
| Last updated in NPPES | March 12, 2025 |
| Certification date | March 12, 2025 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2010 (16 years in practice) |
| Group practice | Highland Clinic, A Prof Med Corp — 60 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Lake Charles
-
Second Avenue MRI LLC
2770 3rd Ave Ste 125, Lake Charles, LA 70601-8994 · (337) 494-2674
-
Donald L Thomas Jr., MD
1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 · (337) 439-4706
-
Dr. Barbara C Tomek, MD
1747 Imperial Blvd, Lake Charles, LA 70605-5362 · (337) 312-8761
-
Michael D Walker, MD
1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 · (337) 439-4706
-
Donald A Woolridge, MD
1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 · (337) 439-4706