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Dr. Ted W Wallis, MD
Specialist in Austin, Texas
NPI 1386648228

Ted W Wallis is a Specialist based in Austin, TX. Ted W Wallis practices in Austin, TX and has the professional credentials of MD. The NPI Number for Ted W Wallis is 1386648228 and holds a License No. E6677 (Texas).

The current practice location address for Ted W Wallis is 4007 James Casey St Ste B200, Austin, TX and can be reached out via phone at 512-441-9799.

Location: 4007 James Casey St Ste B200, Austin, TX, 78746-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386648228
Provider Name
Ted W Wallis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4007 James Casey St Ste B200, Austin, TX, 78746-4637
Phone Number
512-441-9799
Fax Number
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4007 James Casey St Ste B200
City
Austin
State
Texas
Zip
78745-1181
Phone Number
512-441-9799
Fax Number
person
Provider Business Mailing Address Details
Address
4007 James Casey St Ste B200
City
Austin
State
Texas
Zip
78745-1181
Phone Number
512-441-9799
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E6677 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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