Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallis Dermatology Associates PLLC

Organization Dermatology Physician · NPI 1396945234

Wallis Dermatology Associates PLLC is a Dermatology Physician in Longview, Texas. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3535 N Fourth St Ste 400
Longview, TX 75605-0038
Phone: (903) 757-3881
Fax: (903) 757-5948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1900 S Washington Ave Ste E, Marshall, TX 75670-6845 — (903) 503-7330
  • 2365 Three Lakes Pkwy, Tyler, TX 75703 — (903) 991-4569

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence H6685 (TX)

Record details

NPI number1396945234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Bowen — Credentialing Officer · (903) 503-7330
NPI enumeratedJuly 19, 2007
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address3535 N Fourth St Ste 400, Longview, TX 75605-0038

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