TED W WALLIS

AUSTIN, TX
NPI1386648228
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: TX  E6677)
Enumeration Date2005-06-09
Last Update Date2009-06-18
Business Address
Dr. TED W WALLIS MD
4007 JAMES CASEY ST STE B200
AUSTIN, TX 78745-1181
Phone number: 512-441-9799
Mailing Address
Dr. TED W WALLIS MD
203 WALLIS DR
AUSTIN, TX 78746-4637
Phone number: 512-329-9459
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