Thaller, Ephraim Isaac

Thaller, Ephraim Isaac is an individual health care provider with primary practice located at 333 Londonderry Dr Suite 100, Waco TX 76712-7900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Thaller, Ephraim Isaac can be contacted via phone (254) 751-1144.

Contact Information

Primary practice address
333 Londonderry Dr Suite 100 Waco TX 76712-7900
Phone: (254) 751-1144
Fax: (254) 751-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X L4144 Texas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X L4144 Texas

Profile Details

NPI number 1245285022
LBN Legal business name Thaller, Ephraim Isaac
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Dec 27th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245285022 NPPES
Texas MEDICAID 180355301
Texas Other 00712N
Texas Other P00428353
Texas Other 151825100
Texas Other 8V9670

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