Individual
GEORGE WALLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 N MAIN, LONE STAR, TX 75668
(903) 656-8613
Mailing address
123 N MAIN, LONE STAR, TX 75668
(903) 656-8613
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
L3178
TX
Other
Enumeration date
07/24/2006
Last updated
11/01/2007
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