Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK S WALLIS, M.D.
Active Sole ProprietorDR. MARK S WALLIS, M.D. is a Obesity Medicine healthcare provider located in LONGVIEW, Texas. NPI 1861489049 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · LONGVIEW, TX
Registration Details
- NPI Number
- 1861489049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2005 (20.679808450069 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
H6685 (TX)H6685 (TX)H6685 (TX)H6685 (TX)H6685 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3535 N FOURTH ST STE 400LONGVIEW, TX, 756050038Browse TX providers · Browse ZIP 75605
- Phone
- 9037573881
- Fax
- 9037575948
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
Other Obesity Medicine Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT STANLEY TAYLOR III | MD | 1760441893 |
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.