Dr. Robert Randolph Wallis
Family Doctor - Adult Medicine
547 Lupin St
Bellaire
, Texas 77401-5023
Dr. Robert Randolph Wallis
Family Doctor - Adult Medicine
547 Lupin St
Bellaire
, Texas 77401-5023
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Robert Randolph Wallis
- 547 Lupin St
- Bellaire, TX
- Zip : 77401-5023
- Phone :
Second Address
- Dr. Robert Randolph Wallis
- 547 Lupin St
- Bellaire, TX
- Zip : 77401-5023
- Phone : (713) 665-0852
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | D9706 | TX |
National Provider Identifier
| NPI | 1295854974 |
|---|---|
| Provider Name | Dr. Robert Randolph Wallis |
| First Address | Bellaire, TX 77401-5023 |
| Second Address | Bellaire, TX 77401-5023 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 11/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.