Wall, Michael N.

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

Contact Information

Primary practice address
4085 De Zavala Rd Suite 200 Shavano Park TX 78249-2084
Fax: (210) 558-6289
Website:

Health care specialties

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

Profile Details

NPI number 1639118730
LBN Legal business name Wall, Michael N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 25th, 2015 - about 10 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 1639118730 NPPES
Texas MEDICAID 035387201

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