Pittman-Waller, Virginia Alicia
Pittman-Waller, Virginia Alicia is an sole proprietor health care provider with primary practice located at 3003 South Loop West Suite 210, Houston TX 77054. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Pittman-Waller, Virginia Alicia can be contacted via phone (210) 416-6000.Contact Information
Primary practice address
3003 South Loop West Suite 210
Houston TX 77054
Phone: (210) 416-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | K5666 | Texas |
Profile Details
| NPI number | 1376593939 |
|---|---|
| LBN Legal business name | Pittman-Waller, Virginia Alicia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Dec 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376593939 | NPPES |
| Texas | MEDICAID | 420551001 |
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