IndividualActive
Brent Wallace, M.D.
NPI 1386638252 · Internal Medicine Physician · Cleburne, TX
Provider details
- NPI number
- 1386638252
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- F2093 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 Hyde Park Blvd
Cleburne, TX 76033-4561
Phone: (817) 641-5221
Fax: (817) 517-5241
Street-level locationGet directions
Mailing address
141 Hyde Park Blvd
Cleburne, TX 76033-4561
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.