Individual
ALISON L WALGAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 MEDICAL DR, LONGVIEW, TX 75605-5130
(903) 232-8100
(903) 232-8115
Mailing address
805 MEDICAL DR, LONGVIEW, TX 75605-5130
(903) 232-8100
(903) 232-8115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P2393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350266803
—
TX
Enumeration date
06/09/2011
Last updated
01/24/2023
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