Provider Type Icon

PHILIP A. WALLER MD PA NPI 1639368277


NPI Information

NPI: 1639368277
Provider Name: PHILIP A. WALLER, MD, PA
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
11003 RESOURCE PKWY STE 102
HOUSTON, TX
ZIP 77089
Phone: (281) 481-8557
Get Directions

PHILIP A. WALLER, MD, PA is a rheumatology internal medicine in Houston, TX. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. PHILIP A. WALLER, MD, PA NPI is 1639368277. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11003 RESOURCE PKWY STE 102
HOUSTON, TX
ZIP 77089-142
Phone: (281) 481-8557
Fax: (281) 484-7916

The provider's authorized official is Philip A Waller .
The authorized official title is Owner and has the following contact phone number (281) 481-8557.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 6/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyJ3933TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15214420001OTHERTEXASDME
28AW783OTHERTEXASBCBS
3P00063802OTHERTEXASRRMC
41588630578OTHERTEXASINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.