DR. TED WALLIS, MD
Specialist
Active
Individual
NPI: 1386648228
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | E6677 (TX) |
Frequently Asked Questions
NPI 1386648228 is the National Provider Identifier for DR. TED WALLIS, MD, a Specialist provider located in Austin, TX. This NPI was enumerated on June 9, 2005.
DR. TED WALLIS, MD practices at 4007 JAMES CASEY ST STE B200, Austin, TX 78745.
Quick Facts
- NPI
- 1386648228
- Type
- Individual
- Enumerated
- Jun 9, 2005
- Last Updated
- Jun 18, 2009
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