Dr. Mark S Wallis, MD
Dr. Mark S Wallis, MD is a Dermatology in Longview, Texas. Graduated from University of Texas Medical School at San Antonio in 1988, 38 years ago. Practices with Wallis Dermatology Associates PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 38
- Trained at
- University of Texas Medical School at San Antonio
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3535 N Fourth St Ste 400Longview, TX 75605-0038
Phone: (903) 757-3881
Fax: (903) 757-5948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence H6685 (TX) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence H6685 (TX) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence H6685 (TX) |
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence H6685 (TX) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence H6685 (TX) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence H6685 (TX) |
Record details
| NPI number | 1861489049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2005 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | July 21, 2021 |
| Mailing address | 3535 N Fourth St Ste 400, Longview, TX 75605-0038 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduated | 1988 (38 years in practice) |
| Group practice | Wallis Dermatology Associates Pllc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Longview
-
Blake A Robbins, DO
707 Hollybrook Dr, Longview, TX 75605-2410 · (903) 232-8230
-
Dr. Donna Vu
6 Doctor Cir, Longview, TX 75605-5050 · (903) 757-3881
-
Wallis Dermatology Associates PLLC
3535 N Fourth St Ste 400, Longview, TX 75605-0038 · (903) 757-3881
-
Luke Stewart Wallis, MD
3535 N Fourth St Ste 400, Longview, TX 75605-0038 · (903) 757-3881