Doctor profile · Federal record
Dr. Richard Wallace, MD
Infectious Disease Physician · Tyler, TX
- NPI 1083698609
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11937 US Highway 271
Tyler, TX 757083154
(903) 877-7777 - Mailing address
-
Po Box 731912
Dallas, TX 753731912
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- October 21, 2016
- Specialty taxonomy
- 207RI0200X — NUCC code
- State license (1)
- Texas #D9705
- Medicaid
- TX #100861704
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083698609. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 1 | $16.29 |
By nature of payment
Frequently asked questions
What is Dr. Richard Wallace's medical specialty?
Dr. Richard Wallace practices Infectious Disease Physician in Tyler, TX.
Where does Dr. Richard Wallace practice?
Dr. Richard Wallace practices at 11937 US Highway 271, Tyler, TX 757083154. Office phone: 9038777777.
What is Dr. Richard Wallace's NPI?
Dr. Richard Wallace's National Provider Identifier (NPI) is 1083698609, issued by NPPES.