Wallis Dermatology Associates Pllc

NPI #1396945234 in Longview, Texas

Provider Information

NPI Number
1396945234
Entity Type
Organization
Organization Name
Wallis Dermatology Associates Pllc
Primary Specialty
Dermatology
Enumeration Date
Jul 19, 2007
Last Updated
Sep 30, 2024

Practice Location

Address
3535 N FOURTH ST STE 400
State
Texas
ZIP Code
75605-0038
Phone
(903) 757-3881

Authorized Official

Name
TAMRON G THOMPSON
Title
CLINICAL MANAGER
Phone
(903) 757-3882

Specialties & Taxonomy Codes

Specialty
Dermatology

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