NPI age
20 years
Enumerated 2005-11-17
● Active
Type 1 · Individual
Jack Wesley Wallis, MD
Wallis is 1 of 35 family medicine providers in San Marcos and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-09-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
2108 Hunter Rd, Suite 116
San Marcos, TX 786665156
Mailing address
2108 Hunter Rd, Suite 116
San Marcos, TX 786665156
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Family MedicineA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122902302 |
Practice context
Part of a multi-provider practice. 3 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.
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