Richard L Wallner Md Pa

LBN: Richard L Wallner Md Pa
Richard L Wallner Md Pa is an health care organization with primary practice located at 2715 Bolton Boone Dr Suite A, Desoto TX 75115-2078. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Richard L Wallner Md Pa can be contacted via phone (972) 296-0086, or through Wallner, Richard via phone (972) 296-0086.

Contact Information

Primary practice address
2715 Bolton Boone Dr Suite A Desoto TX 75115-2078
Phone: (972) 296-0086
Fax: (972) 298-5536
Website:
Map and Directions
Authorized official contact:
Name: Wallner, Richard
Phone: (972) 296-0086

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X F7283 Texas

Profile Details

NPI number 1508179284
LBN Legal business name Richard L Wallner Md Pa
DBA Doing business as
Authorized official Wallner, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2010
Last updated Jul 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508179284 NPPES
Texas MEDICAID 033326201

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