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

Scott Earl Wallace, DO

Individual provider Family Medicine Physician · NPI 1861074635

Scott Earl Wallace, DO is a Family Practice in Pampa, Texas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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.

See every abbreviation used in this directory →

Practice location Address checks out

3023 Perryton Pkwy
Pampa, TX 79065-2821
Phone: (806) 665-0801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence W6559 (TX)

Record details

NPI number1861074635
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address3023 Perryton Pkwy, Pampa, TX 79065-2821

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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