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

Luke Stewart Wallis, MD

Individual provider Dermatology Physician · NPI 1144724717

Luke Stewart Wallis, MD is a Dermatology in Longview, Texas. Graduated from University of Texas Medical School at San Antonio in 2018, 8 years ago. Practices with Wallis Dermatology Associates PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2018
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

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.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1144724717 (TX)

Record details

NPI number1144724717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2018 (8 years in practice)
Group practice Wallis Dermatology Associates Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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