Individual
DR. J.WILLIAM GERARD LAVALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 PATHFINDER DR, MEDICAL WELLNESS CENTRE, AUSTIN, TX 78759-6168
(512) 794-8907
Mailing address
6301 PATHFINDER DR, MEDICAL WELLNESS CENTRE, AUSTIN, TX 78759-6168
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H3264
TX
Other
Enumeration date
02/07/2007
Last updated
07/11/2007
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