Individual provider · Type 1 NPI

Ted W. Wallis, MD

Specialist · Austin, TX

NPI number 1386648228 Active

Practice location

4007 James Casey St Ste B200
Austin, TX 78745-1181

Call (512) 441-9799 Map

Mailing address

203 Wallis Dr
Austin, TX 78746-4637

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE6677 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Other specialist providers in Austin

See all in Austin →

About NPI 1386648228

Ted W. Wallis, MD's National Provider Identifier is 1386648228, issued on Jun 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Austin, TX. The record was last updated on Jun 18, 2009.