Provider profile

Individual

Jason R. Wallace

Radiology in Austin, TX. NPI 1013028612, listed in the CMS NPI Registry since 08/31/2006. Bills Medicare.

NPI 1013028612Specialty RadiologyEnumerated 08/31/2006
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Registry and Medicare facts

Practice location
12554 Riata Vista Circle, Austin, TX 78727
CMS NPI Registry
Phone
(512) 795-5100
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
08/31/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,216 Part B
CMS Medicare 2024

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