Individual provider · Type 1 NPI
Robert Randolph Wallis, MD
Adult Medicine Physician · Bellaire, TX
NPI number
1295854974
Active
Practice location
547 Lupin St
Bellaire, TX 77401-5023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | D9706 (TX) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
Other adult medicine physician providers in Bellaire
About NPI 1295854974
Robert Randolph Wallis, MD's National Provider Identifier is 1295854974, issued on Mar 27, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Bellaire, TX. The record was last updated on Jul 11, 2007.