Wallis, Ted W
Wallis, Ted W is an sole proprietor health care provider with primary practice located at 4007 James Casey St Ste B200 , Austin TX 78745-1181. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wallis, Ted W can be contacted via phone (512) 441-9799.Contact Information
Primary practice address
4007 James Casey St Ste B200
Austin TX 78745-1181
Phone: (512) 441-9799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E6677 | Texas |
Profile Details
| NPI number | 1386648228 |
|---|---|
| LBN Legal business name | Wallis, Ted W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 18th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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