Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT RANDOLPH WALLIS, M.D.
Active Sole ProprietorDR. ROBERT RANDOLPH WALLIS, M.D. is a Adolescent Medicine healthcare provider located in BELLAIRE, Texas. NPI 1295854974 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · BELLAIRE, TX
Registration Details
- NPI Number
- 1295854974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.41559312193 yrs)
- Last Updated
- Jul 11, 2007
- License
-
D9706 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
547 LUPIN STBELLAIRE, TX, 774015023Browse TX providers · Browse ZIP 77401
- Phone
- 7136650852
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in BELLAIRE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. DEBORAH BADE HORN | DO | 1437202355 |
| ALANNA DOMINIQUE MEADOWS | — | 1689315913 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.