NPI age
15 years
Enumerated 2010-07-27
● Active
Type 1 · Individual
Cory L Wallace, DPM
Wallace is 1 of 99 podiatrist providers in San Antonio and 1 of 1136 in Texas.
Primary specialty
Podiatrist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1136 active podiatrist providers in Texas.
NPI age
15 years
≈ at median (14 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
8715 Village Dr Ste 400
San Antonio, TX 782175407
Mailing address
8715 Village Dr, Ste 400
San Antonio, TX 782175407
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 297723YMVU | WMG PTAN |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.