Ted Wallis, MD

NPI 1386648228 · on the registry since 2005 · sole proprietor

Practice

Address: 4007 James Casey St Ste B200
Austin, TX 78745
Phone: (512) 441-9799
Organisation at this address: Mallett Md, Pa
Rn Poonawala Pa
Sasan Askari, Md Pa
James A. Black, M.D.
John C. Williamson, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas