Michael N Wall, Md

LBN: Michael N Wall, Md
Michael N Wall, Md is an health care organization with primary practice located at 4085 De Zavala Rd Suite 200, Shavano Park TX 78249-2084. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Michael N Wall, Md can be contacted via phone (210) 558-6288, or through Wall, Michael N via phone (210) 558-6288.

Contact Information

Primary practice address
4085 De Zavala Rd Suite 200 Shavano Park TX 78249-2084
Phone: (210) 558-6288
Fax: (210) 558-6289
Website:
Map and Directions
Authorized official contact:
Name: Wall, Michael N Doctor of Medicine (MD)
Phone: (210) 558-6288

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G1227 Texas

Profile Details

NPI number 1063678894
LBN Legal business name Michael N Wall, Md
DBA Doing business as
Authorized official Wall, Michael N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2008
Last updated Mar 25th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063678894 NPPES
Texas MEDICAID 035387201

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