location
search-icon
person
Dr. David R Wallace JR., MD
Diagnostic Radiology Physician in Lake Charles, Louisiana
NPI 1265743595

David R Wallace JR. is a Diagnostic Radiology Physician based in Lake Charles, LA and is specialized in Diagnostic Radiology. David R Wallace JR. practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for David R Wallace JR. is 1265743595 and holds a License No. A136122 (Louisiana).

The current practice location address for David R Wallace JR. is 1800 Ryan St Ste 105, Lake Charles, LA and can be reached out via phone at 337-439-4706 and via fax at 337-439-8110.

Location: 1800 Ryan St Ste 105, Lake Charles, LA, 70601-6078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265743595
Provider Name
David R Wallace JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 Ryan St Ste 105, Lake Charles, LA, 70601-6078
Phone Number
337-439-4706
Fax Number
337-439-8110
Provider Enumeration Date
07/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Ryan St Ste 105
City
Lake Charles
State
Louisiana
Zip
70601-6078
Phone Number
337-439-4706
Fax Number
337-439-8110
person
Provider Business Mailing Address Details
Address
1800 Ryan St Ste 105
City
Lake Charles
State
Louisiana
Zip
70601-6078
Phone Number
337-439-4706
Fax Number
337-439-8110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A136122 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.