NPI 1083906036

William Allan Wall, DC

Practitioner Chiropractor Livingston, TX

Practice location

Address: 400 Bypass Ln Suite 103, Livingston, TX 77351-6351
Phone: (936) 327-3140
Fax: (936) 327-3282

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 11759 (TX)

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Registry record

NPI: 1083906036
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2011
Record last updated: 5 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.