Jack Wesley Wallis, MD

Family medicine physician in San Marcos, Texas · NPI 1962484733

Jack Wallis is one of 27 family medicine physicians practicing in San Marcos, Texas. Jack Wallis practices with David P Ellent PLLC and Seton Family Of Doctors.

Registry record (NPPES)

NPI
1962484733
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
2108 Hunter Rd
San Marcos, TX 78666-5156
(512) 754-7700
Enumerated
Nov 17, 2005
Record last updated
Sep 14, 2010
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Family Practice
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More family medicine physicians in San Marcos

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.