Provider Demographics
NPI:1386716967
Name:WALLS, ANDREW LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LOUIS
Last Name:WALLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3445 EXECUTIVE CENTER DR
Mailing Address - Street 2:STE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1678
Mailing Address - Country:US
Mailing Address - Phone:512-579-4000
Mailing Address - Fax:512-222-0146
Practice Address - Street 1:3445 EXECUTIVE CENTER DR
Practice Address - Street 2:STE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1678
Practice Address - Country:US
Practice Address - Phone:512-579-4000
Practice Address - Fax:512-222-0146
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2020-07-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD429738207ZP0102X
TXR2249207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology