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1295854974
ROBERT RANDOLPH WALLIS
BELLAIRE, TX
NPI
1295854974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: TX D9706)
Enumeration Date
2007-03-27
Last Update Date
2007-07-11
Business Address
Dr. ROBERT RANDOLPH WALLIS M.D.
547 LUPIN ST
BELLAIRE, TX 77401-5023
Phone number: 713-665-0852
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Mailing Address
Dr. ROBERT RANDOLPH WALLIS M.D.
547 LUPIN ST
BELLAIRE, TX 77401-5023
Phone number:
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