Individual
DR. STUART A WALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4471 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-1755
(972) 316-4555
(972) 316-4550
Mailing address
PO BOX 679191, DALLAS, TX 75267-9191
(972) 316-4555
(469) 802-1548
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME89667
FL
207N00000X
Dermatology Physician
Primary
S5517
TX
207ND0101X
MOHS-Micrographic Surgery Physician
ME89667
FL
207NS0135X
Procedural Dermatology Physician
ME89667
FL
Other
Enumeration date
09/22/2006
Last updated
01/13/2025
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