DR. Daniel Theodore Wallis, M.D.

NPI #1871957076 in Live Oak, Texas

Provider Information

NPI Number: 1871957076
Entity Type: Individual
Name: DR. Daniel Theodore Wallis, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Apr 13, 2016
Last Updated: Aug 11, 2021

Practice Location

Address: 7832 PAT BOOKER RD
City: Live Oak
State: Texas
ZIP Code: 78233-2601
Phone: (210) 657-9338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Dermatology Associates of San Antonio	Dermatology	Live Oak	AI Deep Dive

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