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
Phone: (281) 481-8557
Fax: (281) 484-7916
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1588630578 | NPPES |
| Texas | Other | 5214420001 | DME |
| Texas | Other | 8AW783 | DME |
| Texas | Other | P00063802 | DME |
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