Waller, Philip A

Waller, Philip A is an sole proprietor health care provider with primary practice located at 11003 Resource Pkwy Ste 102 , Houston TX 77089-6142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Waller, Philip A can be contacted via phone (281) 481-8557.

Contact Information

Primary practice address
11003 Resource Pkwy Ste 102 Houston TX 77089-6142
Fax: (281) 484-7916
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X J3933 Texas

Profile Details

NPI number 1588630578
LBN Legal business name Waller, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Jun 22nd, 2022 - 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 1588630578 NPPES
Texas Other 5214420001 DME
Texas Other 8AW783 DME
Texas Other P00063802 DME

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