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

Dr. Ted W Wallis, MD

Individual provider Specialist · NPI 1386648228

Dr. Ted W Wallis, MD is a Specialist in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4007 James Casey St Ste B200
Austin, TX 78745-1181
Phone: (512) 441-9799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence E6677 (TX)

Record details

NPI number1386648228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2005
Last updated in NPPESJune 18, 2009
Mailing address203 Wallis Dr, Austin, TX 78746-4637

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