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Alec Wallace is one of 6 emergency medicine physicians practicing in Jacksboro, Texas .
Alec Wallace practices with Concord Medical Group Of Texas PLLC.
Registry record (NPPES)
NPI
1306533674
Type
Type 1 · Individual
Primary taxonomy
Emergency Medicine · 207P00000X
Address on file
5323 Harry Hines Boulevard Dallas Texas 75390 Dallas, TX 75390-0001 (214) 786-4829
Enumerated
Apr 18, 2023
Record last updated
Jan 26, 2026
License states listed
NULL, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXEmergency Medicine
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
215 Chisholm Trl
Jacksboro , TX 76458
(940) 567-6633
More emergency medicine physicians in Jacksboro
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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