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

John M Wallace, LO

Individual provider Orthotist · NPI 1487912382

John M Wallace, LO is an Orthotist in Houston, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
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Practice location Address checks out

11155 Main St
Houston, TX 77025-5600
Phone: (713) 474-4171
Fax: (713) 747-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 171 (TX)

Record details

NPI number1487912382
Entity typeIndividual (Type 1)
GenderMale
Credentials LO
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESApril 27, 2012
Mailing address11155 Main St, Houston, TX 77025-5600

Other providers in Houston