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

Dr. Jennifer L Wallace, MD

Individual provider Internal Medicine Physician · NPI 1699760934

Dr. Jennifer L Wallace, MD is an Internal Medicine in San Antonio, Texas. Graduated from University of Texas Medical School at San Antonio in 1989, 37 years ago. Practices with Execudoc, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
37
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2005
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

7720 Jones Maltsberger Ste 110
San Antonio, TX 78216
Phone: (210) 822-2004
Fax: (210) 822-2215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence H9277 (TX)

Record details

NPI number1699760934
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESApril 26, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1989 (37 years in practice)
Group practice Execudoc, Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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