DR. DANIEL THEODORE WALLIS, M.D.
Student, Health Care at 4 St, Lubbock, TX

License number
Texas BP10056054
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address
3601 4Th St, Lubbock, TX 79430
Phone
(806) 743-1842
National Provider ID: 1871957076
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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