Provider profile

Individual

David R Wallace

Radiology in Lake Charles, LA. NPI 1265743595, listed in the CMS NPI Registry since 07/01/2010. Bills Medicare.

NPI 1265743595Specialty RadiologyEnumerated 07/01/2010
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Registry and Medicare facts

Practice location
1800 Ryan St Ste 105, Lake Charles, LA 70601
CMS NPI Registry
Phone
(337) 439-4706
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/01/2010
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,703 Part B
CMS Medicare 2024

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