P Praxis·MD
● Active Type 1 · Individual

Jason R. Wallace, M.D.

Radiology·Austin, TX· NPI 1013028612 · Enumerated 2006 · 19 years on NPI
Wallace is 1 of 148 radiology providers in Austin and 1 of 3776 in Texas.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
12554 Riata Vista Circle
Austin, TX 787276432
📞 5127955100fax 5127955122
Mailing address
12554 Riata Vista Circle
Austin, TX 787276432
📞 5127955100fax 5127955122

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #M9727 taxonomy 2085R0202X
  • Radiology
    A Radiology doctor of Osteopathy that specializes in Body Imaging.
    WA license #MD00046651 taxonomy 2085B0100X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new radiology providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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