Active NPI
David Michael Wallace, D.O.
- Sports Medicine (Family Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- N0539
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BL970 | Other | TX | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008872 | OH | MD | Family Medicine Physician |
| N0539 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakbend Medical Group | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Family Medicine | Current | Accepting new patients |
| TMH Physician Associates PLLC | Sports Medicine | Current | Accepting new patients |
| Oakbend Medical Group | Family Medicine | Current | Accepting new patients |
| Houston Methodist Specialty Physicians | Current | 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
- 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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1366480725
-
dba Oakbend Medical Group-Wharton
- Rural Health Clinic/Center
- Wharton, TX
- NPI 1578141388
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Sports Medicine
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
-
dba TMHPO Orthopedics Department
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1487140356
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist Clear Lake Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1952723967
-
dba Houston Methodist Baytown Hospital
- General Acute Care Hospital
- Baytown, TX
- NPI 1891789772
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.