Tony Glen Wallen, DO

Family medicine physician in Crockett, Texas · NPI 1932720349

Tony Wallen is one of 16 family medicine physicians practicing in Crockett, Texas. Tony Wallen practices with Century Integrated Partners, Inc and ESS Of Crockett, LLC.

Registry record (NPPES)

NPI
1932720349
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
2800 State Highway 24 Ste A
Commerce, TX 75428-2017
(903) 886-3161
Enumerated
Apr 27, 2020
Record last updated
Nov 12, 2024
License states listed
OK, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in OK, TX
Family Practice
Revalidation due
No date set by CMS

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Practice locations

More family medicine physicians in Crockett

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.