Provider Profile

Jacob C. Wallace

Unclaimed Profile

About Jacob Wallace

Jacob C. Wallace is a healthcare provider located in Odessa, TX. NPI 1710807565 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

TX licenceAs reported to the NPI registry
No. 1160284As reported
NPINational Provider Identifier
1710807565Issued 2026

As reported to the NPI registry ↗

Common questions

Where is Jacob C. Wallace located?

Jacob C. Wallace is listed at 500 W 4Th St, Odessa, TX 79761. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacob C. Wallace's phone number?

The number on file is (432) 640-4000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jacob C. Wallace?

Jacob C. Wallace's National Provider Identifier is 1710807565. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Is Jacob C. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob C. Wallace. If this is you, claiming it is free.

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