Dr. Daniel Theodore Wallis, MD
Dr. Daniel Theodore Wallis, MD is a Dermatology in Live Oak, Texas. Graduated from University of Arkansas College of Medicine in 2016, 10 years ago. Practices with Dermatology Associates of San Antonio, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 10
- Trained at
- University of Arkansas College of Medicine
- Licensed in
- TX
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Live Oak, TXNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 3601 4th St, Lubbock, TX 79430-4402 — (806) 743-1842
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence S7577 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence BP10056054 (TX) |
Record details
| NPI number | 1871957076 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 13, 2016 |
| Last updated in NPPES | August 11, 2021 |
| Certification date | August 11, 2021 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Dermatology Associates Of San Antonio — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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