NPI age
18 years
Enumerated 2007-07-19
● Active Type 2 · Organization
Wallis Dermatology Associates Pllc
Wallis Dermatology Associates Pllc is 1 of 1632 dermatology organizations in Texas.
Primary specialty
Dermatology
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Bowen
Credentialing Officer
Last NPPES update
2026-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 1632 active dermatology providers in Texas.
NPI age
18 years
↑ 2 yr above median
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3535 N Fourth St Ste 400
Longview, TX 756050038
Mailing address
3535 N Fourth St Ste 400
Longview, TX 756050038
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1900 S Washington Ave Ste E
Marshall, TX 756706845
Location 3
2365 Three Lakes Pkwy
Tyler, TX 75703
Authorized official
Elizabeth Bowen
Credentialing Officer
📞 9035037330
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Taylor Dickerson, MD Dermatology NPI 1154825974
- Casey English, APRN-CNP Nurse Practitioner NPI 1780259135
- Laura Fite, M.D. Dermatology NPI 1861750416
- Herold Osborne, P.A-C Physician Assistant NPI 1710999727
- Tammi Short, FNP-C Nurse Practitioner NPI 1538137153
- Rachel Smith, P.A. Physician Assistant NPI 1851323919
- Robert Taylor, MD Dermatology NPI 1760441893
- Luke Wallis, MD Dermatology NPI 1144724717
- Mark Wallis, M.D. Dermatology NPI 1861489049
- Dorothy Womack, FNP-C Nurse Practitioner NPI 1003590282
Specialties
-
Dermatology PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 302333501 |
Practice context
Multi-provider organization. 10 individual providers on file at this primary address. Plus 2 secondary practice locations.
Provyx · Custom healthcare lists
Need all 1632 Dermatology providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.