Garrett Wallace, DO
NPI 1992596738 · Student in an Organized Health Care Education/Training Program · Tyler, TX
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Garrett Wallace, DO is a Student in an Organized Health Care Education/Training Program provider in Tyler, TX (NPI 1992596738).
Provider details
- NPI number
- 1992596738
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- BP10095005 (TX)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense BP10095005 (TX)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Garrett Wallace's NPI number?
- Garrett Wallace's National Provider Identifier (NPI) is 1992596738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Garrett Wallace's specialty?
- Garrett Wallace is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Garrett Wallace located?
- Garrett Wallace's practice location on file with NPPES is 11937 US Highway 271, Tyler, TX 75708-3154.
- What is Garrett Wallace's phone number?
- The practice phone number listed in the NPPES registry for Garrett Wallace is (903) 877-7200.
- Does Garrett Wallace accept Medicare?
- Garrett Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Garrett Wallace's NPI active?
- Yes — Garrett Wallace's NPI (1992596738) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.