Individual
DR. ALICIA REGINA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17520 W GRAND PKWY S STE 120, SUGAR LAND, TX 77479-4759
(281) 298-1144
(281) 298-1133
Mailing address
14960 PARK ROW DR, HOUSTON, TX 77084-5165
(281) 298-1144
(281) 297-1133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P5755
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
P5755
TX
Other
Enumeration date
07/20/2012
Last updated
08/30/2022
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