IndividualActive
John Wallace, LO
NPI 1487912382 · Orthotist · Houston, TX
Provider details
- NPI number
- 1487912382
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LO
- Sex
- Male
- Sole proprietor
- No
- License
- 171 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11155 Main St
Houston, TX 77025-5600
Phone: (713) 474-4171
Fax: (713) 747-4249
Approximate (ZIP-level) locationGet directions
Mailing address
11155 Main St
Houston, TX 77025-5600
Registry dates
- Enumerated
- 2012-04-27
- Last updated
- 2012-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.