Individual provider · Type 1 NPI
Mark S. Wallis, MD
MOHS-Micrographic Surgery Physician · Longview, TX
Practice location
3535 N Fourth St Ste 400
Longview, TX 75605-0038
Fax (903) 757-5948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | H6685 (TX) |
| Dermatopathology Physician | 207ND0900X | H6685 (TX) |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | H6685 (TX) |
| Pediatric Dermatology Physician | 207NP0225X | H6685 (TX) |
| Procedural Dermatology Physician | 207NS0135X | H6685 (TX) |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | H6685 (TX) |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
11 other providers at this address
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- Devor O'Connor, MDDermatology Physician Longview, TX NPI 1811566250
- Dorothy McKenzie Womack, FNP-CNurse Practitioner Longview, TX NPI 1003590282
- Herold Scott Osborne, P.A-CMedical Physician Assistant Longview, TX NPI 1710999727
- Laura Paul Fite, MDDermatology Physician Longview, TX NPI 1861750416
- Luke Stewart Wallis, MDDermatology Physician Longview, TX NPI 1144724717
- Rachel Marie Smith, P.A.Physician Assistant Longview, TX NPI 1851323919
- Robert Stanley Taylor Iii, MDMOHS-Micrographic Surgery Physician Longview, TX NPI 1760441893
- Tammi M. Short, FNP-CNurse Practitioner Longview, TX NPI 1538137153
- Taylor Griffin Dickerson, MDDermatology Physician Longview, TX NPI 1154825974
Other mohs-micrographic surgery physician providers in Longview
About NPI 1861489049
Mark S. Wallis, MD's National Provider Identifier is 1861489049, issued on Oct 3, 2005. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Longview, TX. The record was last updated on Mar 7, 2023.