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

Individual provider Orthopaedic Surgery Physician · NPI 1629089156

Dr. Jeffrey S Wallace, MD is an Orthopedic Surgery in Rockwall, Texas. Graduated from Louisiana State University School of Medicine in Shreveport in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6800 Heritage Pkwy Ste 102
Rockwall, TX 75087-8746
Phone: (972) 463-1253
Fax: (214) 607-1641
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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 · Licence J3932 (TX)

Record details

NPI number1629089156
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 10, 2006
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing addressPo Box 2108, Rockwall, TX 75087-5008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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