1861489049 Dr. Mark S Wallis, M.D.
MOHS-Micrographic Surgery Physician
Active
Basic Information
- Full Name
- Dr. Mark S Wallis, M.D.
- Gender
- Male
- Enumeration Date
- October 3, 2005
- Last Update
- March 7, 2023
Practice Location
- Address
- 3535 N FOURTH ST STE 400
LONGVIEW, TX 756050038 - Phone
- (903) 757-3881
- Fax
- (903) 757-5948
Mailing Address
- Address
- 3535 N FOURTH ST STE 400
LONGVIEW, TX 756050038 - Phone
- (903) 757-3881
- Fax
- (903) 757-5948
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Dermatology | H6685 | TX | No |
| Dermatopathology Physician Dermatopathology | 207ND0900X | Dermatology | H6685 | TX | No |
| Clinical & Laboratory Dermatological Immunology Physician Clinical & Laboratory Dermatological Immunology | 207NI0002X | Dermatology | H6685 | TX | No |
| Pediatric Dermatology Physician Pediatric Dermatology | 207NP0225X | Dermatology | H6685 | TX | No |
| Procedural Dermatology Physician Procedural Dermatology | 207NS0135X | Dermatology | H6685 | TX | No |
| MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | 207ND0101X | Dermatology | H6685 | TX | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30076724 | 01 | TX | DPS NUMBER |
| 45D0684764 | 01 | TX | CLIA NUMBER |
| CID037095 | 01 | TX | CIDC NUMBER |
| H6685 | 01 | TX | MEDICAL LICENSE NUMBER |
| 04813881913 | 01 | TX | MED. ED. NUMBER |
| 0898678-03 | 05 | TX | N/A |
Frequently Asked Questions
What is Dr. Mark S Wallis, M.D.'s NPI number?
Dr. Mark S Wallis, M.D.'s NPI number is 1861489049.
Which doctor has NPI number 1861489049?
The doctor with NPI number 1861489049 is Dr. Mark S Wallis, M.D..
What is Dr. Mark S Wallis, M.D.'s practice address?
Dr. Mark S Wallis, M.D.'s practice address is 3535 N FOURTH ST STE 400, LONGVIEW, TX, 756050038.
Which doctor practices at 3535 N FOURTH ST STE 400, LONGVIEW, TX, 756050038?
Dr. Mark S Wallis, M.D. practices at 3535 N FOURTH ST STE 400, LONGVIEW, TX, 756050038.
What is Dr. Mark S Wallis, M.D.'s phone number?
Dr. Mark S Wallis, M.D.'s phone number is (903) 757-3881.
Who is (903) 757-3881?
(903) 757-3881 is the phone number for Dr. Mark S Wallis, M.D..
What is Dr. Mark S Wallis, M.D.'s specialty?
Dr. Mark S Wallis, M.D.'s specialty is MOHS-Micrographic Surgery Physician.
What type of doctor is Dr. Mark S Wallis, M.D.?
Dr. Mark S Wallis, M.D. is a MOHS-Micrographic Surgery Physician.
Is Dr. Mark S Wallis, M.D. a MOHS-Micrographic Surgery?
Yes, Dr. Mark S Wallis, M.D. is a MOHS-Micrographic Surgery.
Is Dr. Mark S Wallis, M.D. still practicing?
Yes, Dr. Mark S Wallis, M.D. is currently practicing.
Is Dr. Mark S Wallis, M.D. accepting new patients?
Dr. Mark S Wallis, M.D. may be accepting new patients. Please call their office at (903) 757-3881 to inquire about availability.
Is NPI 1861489049 still active?
Yes, NPI 1861489049 is currently active.
Where does Dr. Mark S Wallis, M.D. practice?
Dr. Mark S Wallis, M.D. practices in LONGVIEW, TX.
Is Dr. Mark S Wallis, M.D. a male or female doctor?
Dr. Mark S Wallis, M.D. is a male doctor.