OrganizationActive
Wallace Sports Medicine PA
NPI 1770823213 · Orthopaedic Surgery Physician · Rockwall, TX
Provider details
- NPI number
- 1770823213
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Wallace, President(972) 722-4830
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2313 Ridge Rd Ste 105b
Rockwall, TX 75087-5141
Phone: (972) 722-4830
Street-level locationGet directions
Mailing address
8440 Walnut Hill Ln
Dallas, TX 75231-3833
Other names (DBA / former)
- Doing business as
- Wallace Sports Medicine
Registry dates
- Enumerated
- 2013-02-20
- Last updated
- 2013-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.