MARK S WALLIS

LONGVIEW, TX
NPI1861489049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: TX  H6685)
Additional Taxonomies207N00000X Dermatology
(Licence: TX  H6685)
207ND0900X Dermatology, Dermatopathology
(Licence: TX  H6685)
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
(Licence: TX  H6685)
207NP0225X Dermatology, Pediatric Dermatology
(Licence: TX  H6685)
207NS0135X Dermatology, Procedural Dermatology
(Licence: TX  H6685)
Enumeration Date2005-10-03
Last Update Date2023-03-07
Business Address
Dr. MARK S WALLIS M.D.
3535 N FOURTH ST STE 400
LONGVIEW, TX 75605-0038
Phone number: 903-757-3881
Mailing Address
Dr. MARK S WALLIS M.D.
3535 N FOURTH ST STE 400
LONGVIEW, TX 75605-0038
Phone number: 903-757-3881