DR. GRANT CHARLES WALLACE (M.D.) – Diagnostic Radiology Physician, NPI 1043208101

DR. GRANT CHARLES WALLACE (M.D.) is a healthcare provider. based in Corpus christi, Texas. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. G80310 (CA). The NPI Number for DR. GRANT CHARLES WALLACE (M.D.) is 1043208101

Main info

Male
Name
DR. GRANT CHARLES WALLACE (M.D.)
NPI
1043208101
Phone
(361) 961-3466
Address
10651 E ST
Enumeration Date
12 October 2005
Last Update Date
25 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GRANT CHARLES WALLACE (M.D.)

  • Naval Health Clinic Corpus Christi, 10651, E Street, Corpus Christi, Nueces County, Texas, 78419, United States

    NAVAL HOSPITAL CORPUS CHRISTI

    CORPUS CHRISTI, TX 784195130

    Phone: (361) 961-3466

    Type: Location

  • 13745, Cayo Gorda Court, Mustang-Padre Island, Corpus Christi, Nueces County, Texas, 78418, United States

    CORPUS CHRISTI, TX 784186301

    Phone: (361) 949-0264

    Type: Mailing

  • 200 MERCY CIRCLE

    OCENSIDE, CA 92055

    Phone: (760) 719-3479

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: CARDIVA MEDICAL, INC. ($119).

Total Amount

$224

General + Research + Ownership

Payments

4

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78419)

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Reviews

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Frequently asked questions

Can I verify DR. GRANT CHARLES WALLACE (M.D.) with an NPI only?
You can start verification with NPI 1043208101 for DR. GRANT CHARLES WALLACE (M.D.), then check state licensing separately.
Is DR. GRANT CHARLES WALLACE (M.D.) listed as active for patients and plans?
The listing shows DR. GRANT CHARLES WALLACE (M.D.) as active in the NPI system.
What is DR. GRANT CHARLES WALLACE (M.D.)'s specialty?
The listing groups DR. GRANT CHARLES WALLACE (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. GRANT CHARLES WALLACE (M.D.) serve?
DR. GRANT CHARLES WALLACE (M.D.)'s listing highlights Corpus Christi, Texas; more addresses can appear in NPPES.
Is the information about DR. GRANT CHARLES WALLACE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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