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WALLER MEDICAL CLINIC P.A. NPI 1518091925


NPI Information

NPI: 1518091925
Provider Name: WALLER MEDICAL CLINIC, P.A.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
11301 FALLBROOK DR
STE 101
HOUSTON, TX
ZIP 77065
Phone: (281) 890-9146
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WALLER MEDICAL CLINIC, P.A. is a surgery in Houston, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. WALLER MEDICAL CLINIC, P.A. NPI is 1518091925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11301 FALLBROOK DR
STE 101
HOUSTON, TX
ZIP 77065-237
Phone: (281) 890-9146
Fax: (281) 894-1115

The provider's authorized official is Pon Satitpunwaycha .
The authorized official title is Doctor and has the following contact phone number (281) 890-9146.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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
1208600000XSurgeryF2902TEXASYes

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

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