Richard L Wallner MD PA

NPI #1508179284 in Desoto, Texas

Provider Information

NPI Number
1508179284
Entity Type
Organization
Organization Name
Richard L Wallner MD PA
Primary Specialty
Obstetrics & Gynecology - Gynecology
Enumeration Date
Jul 22, 2010
Last Updated
Jul 22, 2010

Practice Location

Address
2715 BOLTON BOONE DR
Address 2
SUITE A
City
Desoto
State
Texas
ZIP Code
75115-2078
Phone
(972) 296-0086

Authorized Official

Name
DR. RICHARD WALLNER
Title
PRESIDENT
Phone
(972) 296-0086

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology

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