Waller, Karla Teresa
Waller, Karla Teresa is an sole proprietor health care provider with primary practice located at 1401 Medical Pkwy Ste 220 , Cedar Park TX 78613-5013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Waller, Karla Teresa can be contacted via phone (512) 260-1581.Contact Information
Primary practice address
1401 Medical Pkwy Ste 220
Cedar Park TX 78613-5013
Phone: (512) 260-1581
Fax: (512) 406-7309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | P8880 | Texas |
Profile Details
| NPI number | 1174880827 |
|---|---|
| LBN Legal business name | Waller, Karla Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Jun 18th, 2021 - about 4 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 | 1174880827 | NPPES |
| Texas | MEDICAID | 404899302 | |
| Texas | MEDICAID | 404899301 |
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