Individual
WALTER ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 GAYLORD PKWY STE 830, FRISCO, TX 75034-9419
(469) 800-5740
(469) 800-5746
Mailing address
3800 GAYLORD PKWY STE 830, FRISCO, TX 75034-9419
(469) 800-5740
(469) 800-7545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L9683
TX
Other
Enumeration date
06/20/2005
Last updated
05/16/2023
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