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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TED W WALLIS, MD

Active Sole Proprietor

DR. TED W WALLIS, MD is a Specialist healthcare provider located in AUSTIN, Texas. NPI 1386648228 is currently active in the NPPES registry. Verify at CMS.

Specialist · AUSTIN, TX

Registration Details

NPI Number
1386648228
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2005 (21.137313114796 yrs)
Last Updated
Jun 18, 2009
License
E6677 (TX)
Sole Proprietor
Yes

Practice Information

Address
4007 JAMES CASEY ST STE B200
AUSTIN, TX, 787451181
Browse TX providers · Browse ZIP 78745
Phone
5124419799
Primary Specialty
Specialist
174400000X

Other Specialist Providers in AUSTIN, TX

Name Credential NPI
DR. MICHELE AH GILBERT 1821090127
LINDA J LITZINGER MD 1245232545
RANDY SCOTT FAGIN MD 1891799367
CURTIS LEE HITT MD 1326042896
DR. ALBERT B HORN III MD 1497750392
DR. STEVEN BRENT BROTZMAN M.D. 1023015773
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.