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

Individual provider Family Medicine Physician · NPI 1962484733

Jack Wesley Wallis, MD is a Family Practice in San Marcos, Texas. Qualified in 1980, 46 years ago. Practices with Seton Family of Doctors, a 785-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
46
Licensed in
TX
In the registry since
2005
Specialties on file
2
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

2108 Hunter Rd Ste 116
San Marcos, TX 78666-5156
Phone: (512) 754-7700
Fax: (512) 754-0012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G8488 (TX)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence G8488 (TX)

Record details

NPI number1962484733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 17, 2005
Last updated in NPPESSeptember 14, 2010
Mailing address2108 Hunter Rd, Suite 116, San Marcos, TX 78666-5156

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Seton Family Of Doctors — 785 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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