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

John Thomas Wallace

Individual provider Internal Medicine Physician · NPI 1376030825

John Thomas Wallace is a Diagnostic Radiology in Temple, Texas. Graduated from Eastern Virginia Medical School in 2018, 8 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Montana and Texas.

Years since qualifying
8
Trained at
Eastern Virginia Medical School
Licensed in
AZ, MT, TX
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 W Thomas Rd, Phoenix, AZ 85013-4409 — (602) 406-3430
  • 2800 10th Ave N, Billings, MT 59101 — (406) 435-2210

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence V3136 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence MED-RES-LIC-67472 (MT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 69345 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376030825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Temple