Individual provider Active NPI

David Michael Wallace, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Houston, TX
National Provider Identifier
1437349479
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
N0539 Issued in TX
Practice address
18123 Upper Bay Rd Ste 200
Houston, TX 77058-3875
Phone
(281) 363-9090
Fax
(281) 333-2490
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X N0539 TX Primary

Addresses

Primary practice location

18123 Upper Bay Rd Ste 200
Houston, TX 77058-3875

Mailing address

18123 Upper Bay Rd
Houston, TX 77058-3875
Phone (713) 363-9090

Other practice location 1

6243 Fairmont Pkwy Ste 102
Pasadena, TX 77505-4046
Phone (713) 363-9090

Other identifiers 1

IdentifierTypeStateIssuer
8BL970OtherTXBLUE CROSS BLUE SHIELD TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000665 TX Practitioner - Sports MedicinePractitioner - Family Practice 8426118753 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

2020 Nasa Pkwy
230 Tmhpo Ortho Dept
Houston, TX 77058-3683
Phone (713) 363-9090

6243 Fairmount Pkwy
Suite 100
Pasadena, TX 77505-4046
Phone (713) 363-9090

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-008872OHMDFamily Medicine Physician
N0539TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakbend Medical Group CurrentSince Jul 11, 2011 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Sep 7, 2020 Accepting new patients
TMH Physician Associates PLLC Sports Medicine CurrentSince Sep 7, 2020 Accepting new patients
Oakbend Medical Group Family Medicine CurrentSince Jul 11, 2011 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

2020 Nasa Pkwy
Ste 230
Houston, TX 77058
Phone (713) 363-9090

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

18123 Upper Bay Rd
Houston, TX 77058
Phone (281) 523-3320

18123 Upper Bay Rd
Ste 200
Houston, TX 77058
Phone (281) 523-2000

6243 Fairmont Pkwy
Ste 105
Pasadena, TX 77505
Phone (281) 867-1852

22001 Southwest Fwy
Ste 300
Richmond, TX 77469
Phone (281) 344-6744

7830 W Grand Pkwy S
Ste 280
Richmond, TX 77406
Phone (281) 633-4940

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: dwallace333180@directhoustonmethodist.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1437349479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18123 UPPER BAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583875",
            "telephone_number": "713-363-9090",
            "fax_number": "281-333-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18123 UPPER BAY RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583875",
            "telephone_number": "281-363-9090",
            "fax_number": "281-333-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6243 Fairmont Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775054046",
            "country_code": "US",
            "telephone_number": "713-363-9090",
            "fax_number": "281-333-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N0539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8BL970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.