James O Wallace (NPI# 1053395822, PAC ID# 3173629219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1053395822 |
| PAC ID by PECOS | 3173629219 |
| Professional Enrollment ID | I20110113000889 |
| Full Name | James O Wallace |
| Organization Legal Name | UT PHYSICIANS |
| Address |
5656 Kelley St Suite 2 Houston TX 77026-1967 |
| Phone Number | 7135665656 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8426960360 |
| Number of Group Practice Members | 1274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450289 | HARRIS HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 5656 Kelley St, Suite 2, Houston, TX 77026-1967 | 7135665656 | UT PHYSICIANS |
| Organization Legal Name | UT PHYSICIANS |
| Physicians | 1441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan V Mathew | Internal Medicine | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Isaac E Van Sligtenhorst | Family Medicine | Ut Physicians | 4755 Aldine Mail Route Rd, Houston, TX 77039-5934 |
| Terri M Bowden | Nurse Practitioner | Ut Physicians | 10125 Katy Fwy, Suite 100, Houston, TX 77024-1204 |
| Zayde A Radwan | Orthopedic Surgery | Ut Physicians | 10905 Memorial Hermann Dr, Suite 130, Pearland, TX 77584-3773 |
| Alexandra N Duran | Psychiatry | Ut Physicians | 2800 S Macgregor Way, Harris County Psychiatric Center, Houston, TX 77021-1032 |
| Noelle S Knight | Clinical Social Worker | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Veronica Renee Johnson | Internal Medicine | Ut Physicians | 6700 W Loop S, Suite 500, Bellaire, TX 77401-4120 |
| Rebecca L Casarez | Certified Clinical Nurse Specialist (cns) | Ut Physicians | 7000 Fannin, 2453 Ut Physicians Autism Center, Houston, TX 77030-5400 |
| Mona B. Patel | Nurse Practitioner | Ut Physicians | 2929 W Holcombe Blvd, Houston, TX 77025-1534 |
| Elizabeth A Hopson | Family Medicine | Ut Physicians | 818 Ringold, Ut Physicians Family Medicine Acres Home Clinic, Houston, TX 77088-6368 |
| Street Address |
5656 KELLEY ST SUITE 2 |
| City | HOUSTON |
| State | TX |
| Zip | 77026-1967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel M Aisenberg | Internal Medicine | Ut Physicians Specialty Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Robby G Wesley | Internal Medicine | Ut Physicians Specialty Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Hasaan M Siddiqui | Diagnostic Radiology | Ut Physicians | 5656 Kelley St, Houston, TX 77026-1967 |
| Rex Alvin D Paulino | Geriatric Medicine | Ut Physicians | 5656 Kelley St, Houston, TX 77026-1967 |
| Joshua D Person | General Surgery | Ut Physicians - Trauma Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Elmer V Bernstam | Internal Medicine | Ut Physicians Specialty Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Xiaohong I Wang | Pathology | The University of Texas Health Science Center At Houston | 5656 Kelley St, Houston, TX 77026-1967 |
| Amy R Barker | Nurse Practitioner | Ut Physicians | 5656 Kelley St, Houston, TX 77026-1967 |
| Jing Liu | Pathology | The University of Texas Health Science Center At Houston | 5656 Kelley St, Houston, TX 77026-1967 |
| Songlin Zhang | Pathology | The University of Texas Health Science Center At Houston | 5656 Kelley St, Houston, TX 77026-1967 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rocio L Roman | Family Medicine | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Carlos A Dumas | Family Medicine | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Giovanna Figueredo | Family Medicine | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Cynthia U Ine | Nurse Practitioner | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Rabia Shaukat | Family Medicine | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Marilyn G Murr | Family Medicine | Ut Physicians | 5550 Kelley St, Suite 1, Houston, TX 77026-1818 |
| Merita G O'sullivan | Certified Nurse Midwife | Ut Physicians | 5516 Lockwood Dr, Houston, TX 77026-1919 |
| Davide Cattano | Anesthesiology | Ut Physicians | 5656 Kelley, 112a, Houston, TX 77026-1967 |
| Vladimir Melnikov | Anesthesiology | Ut Physicians | 5656 Kelley, 112a, Houston, TX 77026-1967 |
| Miguel G Fabrega | Diagnostic Radiology | Ut Physicians | 5656 Kelley, 112a, Houston, TX 77026-1967 |
| Find all physicians in zip 77026 | |||
| City | HOUSTON |
| Zip Code | 77026 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HOUSTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on James O Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.