Daniel Theodore Wallis, MD

Dermatologist in Live Oak, Texas · NPI 1871957076

Daniel Wallis is one of 8 dermatologists practicing in Live Oak, Texas. Daniel Wallis practices with Dermatology Associates Of San Antonio and Epiphany Dermatology PA.

Registry record (NPPES)

NPI
1871957076
Type
Type 1 · Individual
Primary taxonomy
Dermatology · 207N00000X
Address on file
7832 Pat Booker Rd
Live Oak, TX 78233-2601
(210) 657-9338
Enumerated
Apr 13, 2016
Record last updated
Aug 11, 2021
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Dermatology
Revalidation due
No date set by CMS

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Practice locations

More dermatologists in Live Oak

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.