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

Garrett Wallace, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992596738

Garrett Wallace, DO is a Student in an Organized Health Care Education/Training Program in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11937 US Highway 271
Tyler, TX 75708-3154
Phone: (903) 877-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BP10095005 (TX)

Record details

NPI number1992596738
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address11937 Us Highway 271, Tyler, TX 75708-3154

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