Individual
LUKE STEWART WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 N FOURTH ST STE 400, LONGVIEW, TX 75605-0038
(903) 757-3881
(903) 757-5948
Mailing address
3535 N FOURTH ST STE 400, LONGVIEW, TX 75605-0038
(903) 757-3881
(903) 757-5948
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1144724717
TX
Other
Enumeration date
03/20/2018
Last updated
06/01/2023
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