Active NPI 1861489049 Individual Practitioner Male Practitioner

Dr. Mark S Wallis , MD

Dermatology - MOHS-Micrographic Surgery • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wallis, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Longview, TX. With approximately 38 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1988, Dr. Wallis delivers high-quality medical care to the local community at 3535 N FOURTH ST STE 400.

Dr. Wallis is affiliated with Wallis Dermatology Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, pathology examination of tissue using a microscope, intermediate complexity, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 N Fourth St Ste 400

Longview, TX 756050038

Telephone 9037573881

Fax 9037575948

Associated Practice Facility / Clinic

🏢 Wallis Dermatology Associates Pllc Facility NPI 1396945234

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Longview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs -1.5 yrs vs City Avg

City Avg: 39.5 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Longview, TX (123 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallis (38 Years) 38 Yrs

Longview Specialty Average (39.5 Years) 39.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	5,000	16	$3.00	$1.66
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,171	1,291	$178.00	$67.58
17003 Destruction of precancer skin growth, 2-14 growths	1,383	193	$33.00	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	347	264	$175.00	$86.53
17000 Destruction of skin growth	317	223	$160.00	$47.73
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	270	204	$1570.00	$590.36
Q4229 Cogenex amniotic membrane, per square centimeter	266	18	$1795.00	$912.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	148	$250.00	$121.46
88304 Pathology examination of tissue using a microscope, moderately low complexity	156	136	$145.00	$39.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	129	93	$960.00	$388.47
11102 Tangential biopsy of single skin lesion	114	99	$245.00	$78.20
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	101	91	$1145.00	$224.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	18	$10.00	$0.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	23	$51.00	$13.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	53	47	$730.00	$252.31
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	52	37	$288.00	$95.00
11103 Biopsy of related skin growth, each additional growth	49	26	$130.00	$46.86
17110 Destruction of up to 14 skin growths	44	41	$270.00	$93.02
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	43	23	$375.00	$107.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	35	30	$680.00	$136.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	28	$1020.00	$227.08
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	16	$245.00	$57.26
17004 Destruction of precancer skin growth, 15 or more growths	27	23	$430.00	$158.60
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	16	$347.00	$107.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$1850.00	$733.96
96574 Application of light with debridement to destroy precancer skin growth	24	15	$570.00	$259.39
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$330.00	$118.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$345.00	$160.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	19	$423.00	$161.44
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	21	20	$1200.00	$236.22
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	19	$1475.00	$604.76
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	19	17	$770.00	$251.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	18	$429.00	$166.59
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	18	$280.00	$90.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$350.00	$172.79
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$360.00	$102.34
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$740.00	$149.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$107.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,000	11	$3.00	$1.63
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,864	1,147	$178.00	$68.82
17003 Destruction of precancer skin growth, 2-14 growths	1,304	199	$33.00	$6.41
99213 Established patient office or other outpatient visit, typically 15 minutes	386	293	$175.00	$87.22
17000 Destruction of skin growth	312	234	$160.00	$48.87
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	285	222	$1570.00	$595.29
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	143	96	$960.00	$395.13
88304 Pathology examination of tissue using a microscope, moderately low complexity	128	116	$145.00	$40.86
11102 Tangential biopsy of single skin lesion	114	100	$245.00	$81.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	94	$250.00	$123.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	52	46	$1145.00	$241.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$225.00	$106.71
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	49	43	$288.00	$96.53
17110 Destruction of up to 14 skin growths	48	44	$270.00	$97.32
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	43	$740.00	$156.59
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	42	41	$1200.00	$252.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	15	$51.00	$13.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	13	$10.00	$1.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	33	$730.00	$231.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$110.00	$54.57
11103 Biopsy of related skin growth, each additional growth	30	26	$130.00	$48.68
17004 Destruction of precancer skin growth, 15 or more growths	28	22	$430.00	$163.40
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	28	25	$347.00	$111.29
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	25	$330.00	$127.51
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	18	$423.00	$149.40
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	18	$429.00	$158.61
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	21	$1020.00	$235.79
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	20	$1850.00	$742.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$345.00	$160.92
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$311.67	$125.78
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$725.00	$178.43
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	16	15	$280.00	$88.24
96574 Application of light with debridement to destroy precancer skin growth	15	11	$570.00	$271.02
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$347.00	$105.41
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$680.00	$135.16
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	11	$766.25	$229.36
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	12	$245.00	$73.72
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$2400.00	$960.84
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	11	11	$835.00	$192.64
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	11	11	$315.45	$70.01
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	11	11	$1475.00	$615.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,814	1,130	$178.00	$69.41
17003 Destruction of precancer skin growth, 2-14 growths	1,287	171	$33.00	$6.67
95044 Test for allergy using skin patch	888	12	$15.00	$4.58
99213 Established patient office or other outpatient visit, typically 15 minutes	360	274	$175.00	$88.76
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	302	238	$1570.00	$599.03
17000 Destruction of skin growth	288	207	$160.00	$48.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	172	111	$960.00	$403.28
88304 Pathology examination of tissue using a microscope, moderately low complexity	122	106	$145.00	$40.26
11102 Tangential biopsy of single skin lesion	110	97	$245.00	$87.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	23	$10.00	$1.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	46	$250.00	$125.90
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	57	51	$740.00	$158.06
17110 Destruction of up to 14 skin growths	48	43	$270.00	$99.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	47	$1145.00	$244.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	47	$110.00	$55.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$225.00	$107.49
17004 Destruction of precancer skin growth, 15 or more growths	44	34	$430.00	$166.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	19	$51.00	$13.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	38	$730.00	$258.49
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	40	37	$1200.00	$248.98
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	37	32	$288.00	$102.19
11103 Biopsy of related skin growth, each additional growth	37	24	$130.00	$50.68
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	30	29	$725.00	$164.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	23	$423.00	$151.93
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	28	18	$347.00	$109.21
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	26	$1850.00	$750.77
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	22	$1020.00	$237.00
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	20	20	$330.00	$109.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	16	$680.00	$135.11
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	16	$280.00	$93.35
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$295.00	$124.73
11900 Injection into skin growth, 1-7 growths	12	11	$135.00	$48.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$345.00	$164.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,965	1,120	$178.00	$69.45
17003 Destruction of precancer skin growth, 2-14 growths	1,420	201	$33.00	$6.43
99213 Established patient office or other outpatient visit, typically 15 minutes	418	302	$168.18	$89.21
17000 Destruction of skin growth	324	229	$160.00	$47.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	300	237	$1564.85	$596.79
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	198	132	$952.93	$405.05
88304 Pathology examination of tissue using a microscope, moderately low complexity	151	127	$145.00	$40.35
11102 Tangential biopsy of single skin lesion	126	105	$241.90	$82.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	20	$10.00	$1.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	62	$237.04	$123.29
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	74	66	$731.62	$155.02
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	66	63	$730.00	$234.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	50	$102.31	$55.15
11103 Biopsy of related skin growth, each additional growth	50	31	$130.00	$52.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	19	$51.00	$13.90
17110 Destruction of up to 14 skin growths	40	40	$268.50	$99.53
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	34	33	$1145.00	$251.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$225.00	$107.16
17004 Destruction of precancer skin growth, 15 or more growths	32	25	$430.00	$163.34
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	29	$288.00	$104.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	26	$423.00	$157.45
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	26	25	$1850.00	$753.35
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	25	22	$714.00	$166.22
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	25	$680.00	$144.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$345.00	$164.49
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	22	$429.00	$162.01
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	16	$347.00	$114.52
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	22	22	$1200.00	$250.23
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	20	$328.67	$135.04
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	17	17	$750.00	$251.70
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	16	$278.76	$107.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	14	$295.00	$128.26
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$382.00	$152.88
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	14	$835.00	$170.32
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$1020.00	$225.89
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	12	$238.85	$70.68
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$293.25	$108.39
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$394.00	$143.60
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$2400.00	$975.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,958	1,169	$178.00	$69.05
17003 Destruction of precancer skin growth, 2-14 growths	1,272	176	$33.00	$5.94
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	342	273	$1555.00	$583.51
17000 Destruction of skin growth	291	211	$160.00	$47.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	254	210	$90.00	$44.51
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	219	155	$940.00	$388.38
99213 Established patient office or other outpatient visit, typically 15 minutes	186	143	$150.00	$73.50
88304 Pathology examination of tissue using a microscope, moderately low complexity	119	103	$145.00	$40.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	17	$10.00	$1.45
11102 Tangential biopsy of single skin lesion	112	89	$235.00	$80.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	90	87	$720.00	$152.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$225.00	$105.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	50	49	$730.00	$248.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	18	$51.00	$14.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	35	$225.00	$106.36
17110 Destruction of up to 14 skin growths	47	43	$265.00	$95.78
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	44	41	$288.00	$102.03
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	41	40	$1200.00	$251.17
11103 Biopsy of related skin growth, each additional growth	39	25	$130.00	$52.21
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	39	38	$700.00	$163.96
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	32	29	$1850.00	$751.42
17004 Destruction of precancer skin growth, 15 or more growths	31	28	$430.00	$155.91
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	29	29	$292.00	$113.29
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	23	22	$429.00	$172.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	17	$347.00	$127.66
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	20	$326.00	$122.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	19	$423.00	$158.32
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	18	$273.00	$99.70
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$1145.00	$235.79
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	19	18	$680.00	$146.44
69100 Biopsy of ear	18	17	$235.00	$69.92
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	16	16	$835.00	$175.71
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$295.00	$118.55
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	13	13	$1020.00	$210.31
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$1800.00	$748.35
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	12	$2200.00	$880.24
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	11	11	$1450.00	$586.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,800	12	$2.70	$1.40
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,948	1,145	$178.00	$66.99
95044 Test for allergy using skin patch	1,480	20	$15.00	$5.35
17003 Destruction of precancer skin growth, 2-14 growths	1,339	187	$33.00	$5.43
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	311	252	$1542.04	$579.37
17000 Destruction of skin growth	288	219	$159.32	$45.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	239	150	$935.03	$382.94
99213 Established patient office or other outpatient visit, typically 15 minutes	204	158	$150.00	$72.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	139	$90.00	$43.70
88304 Pathology examination of tissue using a microscope, moderately low complexity	122	114	$145.00	$38.89
11102 Tangential biopsy of single skin lesion	109	91	$229.45	$80.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$225.00	$103.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	16	$10.00	$1.59
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	55	54	$714.18	$147.27
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	52	51	$1197.12	$253.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	51	49	$724.12	$229.05
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	44	37	$285.82	$92.33
17110 Destruction of up to 14 skin growths	39	37	$265.00	$79.42
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	36	33	$321.33	$115.53
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	33	32	$1837.88	$744.91
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	31	$1145.00	$241.44
11103 Biopsy of related skin growth, each additional growth	29	22	$129.41	$50.25
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	28	27	$287.50	$92.78
17004 Destruction of precancer skin growth, 15 or more growths	26	25	$430.00	$147.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	22	$419.42	$155.11
69100 Biopsy of ear	23	18	$234.13	$64.32
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	16	$347.00	$108.67
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	21	21	$695.24	$160.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	18	$265.00	$122.36
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	19	19	$835.00	$180.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$225.00	$106.16
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	19	15	$423.63	$160.70
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	16	$680.00	$126.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$345.00	$160.68
96574 Application of light with debridement to destroy precancer skin growth	14	12	$512.86	$246.82
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$580.77	$117.77
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$235.00	$65.40
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$155.00	$74.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1002.83	$227.40
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1800.00	$745.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	11,600	31	$2.56	$1.28
88305 Pathology examination of tissue using a microscope, intermediate complexity	2,238	1,275	$176.48	$56.90
17003 Destruction of precancer skin growth, 2-14 growths	1,694	256	$33.00	$5.00
95044 Test for allergy using skin patch	1,184	16	$15.00	$5.27
17000 Destruction of skin growth	393	323	$145.00	$49.80
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	385	305	$1245.00	$554.76
99213 Established patient office or other outpatient visit, typically 15 minutes	320	287	$150.00	$70.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	236	149	$742.00	$371.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	196	$90.00	$42.22
11100 Biopsy of single growth of skin and/or tissue	141	121	$195.00	$83.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	23	$10.00	$1.75
88304 Pathology examination of tissue using a microscope, moderately low complexity	90	82	$138.17	$35.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	87	80	$580.00	$253.79
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	82	80	$560.00	$144.07
11101 Biopsy of each additional growth of skin and/or tissue	54	31	$63.00	$31.51
17110 Destruction of up to 14 skin growths	53	50	$225.00	$98.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	22	$51.00	$19.42
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	50	50	$1050.00	$243.42
17004 Destruction of precancer skin growth, 15 or more growths	50	44	$334.00	$139.15
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	48	28	$326.00	$108.17
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	42	$900.00	$255.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	43	40	$547.00	$164.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	38	$533.00	$140.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$225.00	$104.24
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	39	39	$1527.31	$749.00
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	34	30	$225.00	$101.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	25	$330.00	$143.35
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	26	26	$1800.00	$908.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	22	$275.00	$113.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	21	$470.00	$122.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$225.00	$103.98
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	17	$187.37	$71.69
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	18	17	$598.00	$269.70
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	16	$230.00	$82.37
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	17	17	$2295.00	$977.45
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	15	$236.50	$110.00
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	16	14	$340.38	$163.91
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$265.00	$99.34
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$814.00	$219.58
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	13	13	$595.00	$161.81
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	13	$233.00	$101.07
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$320.00	$131.96
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$490.00	$180.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,073	486	$32.74	$5.27
95044 Test for allergy using skin patch	1,850	25	$15.00	$5.21
88305 Pathology examination of tissue using a microscope, intermediate complexity	934	545	$173.94	$65.07
17000 Destruction of skin growth	782	631	$145.00	$48.35
99213 Established patient office or other outpatient visit, typically 15 minutes	637	566	$150.00	$69.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	575	521	$90.00	$41.41
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	361	289	$1245.00	$538.09
11100 Biopsy of single growth of skin and/or tissue	271	236	$195.00	$83.78
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	215	142	$742.00	$367.14
17110 Destruction of up to 14 skin growths	181	174	$225.00	$94.13
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	180	12	$320.00	$147.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	145	28	$10.00	$1.81
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	129	71	$326.00	$125.38
17004 Destruction of precancer skin growth, 15 or more growths	128	104	$330.00	$142.64
J3490 Unclassified drugs	102	50	$512.94	$281.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$225.00	$102.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	90	85	$580.00	$260.07
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	85	79	$225.00	$101.34
11101 Biopsy of each additional growth of skin and/or tissue	79	53	$63.00	$31.30
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	67	62	$560.00	$150.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$225.00	$103.05
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	60	58	$1485.00	$734.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	28	$51.00	$24.08
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	50	26	$480.00	$347.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	49	44	$275.00	$123.18
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	44	40	$335.00	$157.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	43	42	$900.00	$242.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	30	$330.00	$144.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	39	$533.00	$132.87
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	39	38	$1050.00	$241.22
88304 Pathology examination of tissue using a microscope, moderately low complexity	38	36	$123.68	$38.52
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	38	36	$230.00	$91.65
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	37	37	$547.00	$181.81
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$265.00	$126.70
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	33	33	$233.00	$99.85
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	31	30	$226.00	$105.21
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	31	30	$180.00	$79.10
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	22	$330.00	$149.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$470.00	$117.90
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	22	$353.00	$172.96
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	21	$595.00	$175.04
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	20	$320.00	$143.82
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	21	$386.00	$189.71
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	19	19	$598.00	$284.08
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	17	$1800.00	$902.39
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	14	$268.00	$108.78
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	15	$814.00	$266.07
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	15	14	$265.00	$124.68
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	15	$660.00	$163.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$345.00	$157.58
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$2192.14	$918.45
69100 Biopsy of ear	14	14	$190.00	$73.67
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	12	11	$183.00	$74.50
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$155.00	$71.49
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$360.00	$181.59
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$340.00	$78.59

Medical Specialties & State Licenses

CMS Verified: 2021-07-21

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License TX H6685

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX H6685

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License TX H6685

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology - Clinical & Laboratory Dermatological Immunology

NUCC Taxonomy Code: 207NI0002X

State License TX H6685

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License TX H6685

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License TX H6685

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0898678-03 (TX)

Commercial Insurance / Payer ID Dps Number

30076724 (TX)

Commercial Insurance / Payer ID Clia Number

45D0684764 (TX)

Commercial Insurance / Payer ID Cidc Number

CID037095 (TX)

Commercial Insurance / Payer ID Medical License Number

H6685 (TX)

Commercial Insurance / Payer ID Med. Ed. Number

04813881913 (TX)

Hospital & Practice Group Affiliations

Wallis Dermatology Associates Pllc

3535 N 4th St, Longview, TX 756050036

Phone: 9037573881

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dorothy Womack , FNP-C

Nurse Practitioner

NPI 1003590282

Family Nurse Practitioner (Certified)

Dr. Luke Wallis , MD

Dermatology

NPI 1144724717

Doctor of Medicine (M.D.)

Dr. Taylor Dickerson , MD

Dermatology

NPI 1154825974

Doctor of Medicine (M.D.)

Tammi Short , FNP-C

Nurse Practitioner

NPI 1538137153

Family Nurse Practitioner (Certified)

Herold Osborne , PA-C

Physician Assistant - Medical

NPI 1710999727

Physician Assistant (Certified)

Dr. Robert Taylor , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1760441893

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 21, 2021

Registered at 3535 N FOURTH ST STE 400, LONGVIEW, TX 756050038 (Tel: 9037573881)

📍

Updated Business Mailing Address July 21, 2021

Registered at 3535 N FOURTH ST STE 400, LONGVIEW, TX 756050038 (Tel: 9037573881)

✅

NPI Profile Active September 18, 2012

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 18, 2012

Registered at 6 DOCTOR CIR, LONGVIEW, TX 756055050 (Tel: 9037573881)

📍

Updated Practice Location September 18, 2012

Registered at 6 DOCTOR CIR, LONGVIEW, TX 756055050 (Tel: 9037573881)

👤

Provider Name / Credentials Updated September 18, 2012

Recorded as MARK WALLIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2012

Dermatology (License #H6685 in TX)

🟢

Initial NPI Registration & Enumeration October 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mark Wallis. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861489049

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2005

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3535 N Fourth St Ste 400

Longview, TX 756050038

Phone: 9037573881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.