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

William R Wallace, MD

Individual provider Emergency Medicine Physician · NPI 1962445825

William R Wallace, MD is an Emergency Medicine Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1809 Capital Dr
Tyler, TX 75701-8438
Phone: (903) 509-4499
Fax: (903) 509-4490
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence H9585 (TX)

Record details

NPI number1962445825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 2, 2010
Mailing address1809 Capital Dr, Tyler, TX 75701-8438

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