DR. PHILIP A WALLER (NPI# 1588630578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588630578 |
| Entity Type | Individual |
| Full Name | DR. PHILIP A WALLER |
| Credential | M.D. |
| Practice Address |
11003 Resource Pkwy Ste 102 Houston TX 77089-6142 |
| Practice Telephone | 2814818557 |
| Practice Fax Number | 2814847916 |
| Mailing Telephone | 2814818557 |
| Mailing Fax Number | 2814847916 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
J3933 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8AW783 | 01 |
| TX | DME | 5214420001 | 01 |
| TX | RRMC | P00063802 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12553 Gulf Fwy, Houston, TX 770344509 | 2814818557 | 2814847916 |
| Street Address |
11003 RESOURCE PKWY STE 102 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77089-6142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043843410 | Ann Mcneill | Physician Assistant | 11003 Resource Pkwy Ste 102, Houston, TX 77089-6142 | 2020-02-13 |
| 1568008290 | Pedro Ambriz | Physician Assistant | 11003 Resource Pkwy Ste 102, Houston, TX 77089-6142 | 2019-11-18 |
| 1093006439 | Marina Aleksandrovna Harris | Physician Assistant | 11003 Resource Pkwy Ste 102, Houston, TX 77089-6142 | 2011-04-19 |
| 1639368277 | Philip A. Waller, Md, Pa | Internal Medicine | 11003 Resource Pkwy Ste 102, Houston, TX 77089-6142 | 2007-10-19 |
| 1881711141 | Misty J Horn | Nurse Practitioner | 11003 Resource Pkwy Ste 102, Houston, TX 77089-6142 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117040 | Sehat Medical Transporters | Non-emergency Medical Transport (VAN) | 11881 Gulf Pointe Dr, Apt D12, Houston, TX 77089 | 2019-08-01 |
| 1780165225 | Cindie Wilson-le | Physical Therapist | 11902 Resoure Pkwy, Houston, TX 77089 | 2018-08-23 |
| 1760963219 | Stephanie Balli | Occupational Therapy Assistant | 10800 Flora Mae Meadows, Houston, TX 77089 | 2018-08-23 |
| 1669965166 | Every Day Matters LLC | Technician | 10418 Sageglow Dr, Houston, TX 77089 | 2018-06-08 |
| 1457867723 | Lakiesha A Talbert | Counselor | 11519 Cecil Summers Way, Houston, TX 77089 | 2017-12-21 |
| 1245754936 | Think Moore | Voluntary or Charitable | 10630 Seaford Dr, Houston, TX 77089 | 2017-08-03 |
| 1386164887 | Bryan Nguyen | Dentist | 11911 Meadow Hawk Dr., Houston, TX 77089 | 2017-06-26 |
| 1750742771 | Sharon Allen | Speech-Language Pathologist | 11144 Fuqua St. #518, Houston, TX 77089 | 2016-03-18 |
| 1699130914 | Fresenius Medical Care Beamer, LLC | Clinic/Center | 12727 Beamer Road, Houston, TX 77089 | 2015-12-31 |
| 1255743811 | Natalie Marie Fitzgerald | Nurse Practitioner | 11914 Astoria Blvd., Suite 510, Houston, TX 77089 | 2014-05-29 |
| Find all providers in zip 77089 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811483803 | Memorial Advanced Rheumatology Inc | Internal Medicine | 902 Frostwood Dr Ste 208, Houston, TX 77024-2426 | 2018-07-02 |
| 1619347671 | Rheumatology Care of North Houston, Pllc | Internal Medicine | 13325 Hargrave Rd Ste 230, Houston, TX 77070-4540 | 2015-10-03 |
| 1982081915 | Kanika Monga | Internal Medicine | 4191 Bellaire Blvd Ste 250, Houston, TX 77025-1003 | 2015-04-28 |
| 1134531361 | Lina M Ching Mdpa | Internal Medicine | 18300 Katy Freeway, Suite 275, Houston, TX 77094 | 2014-05-22 |
| 1336569011 | Shalini V Jha | Internal Medicine | 7200 Cambridge St # A10.184, Houston, TX 77030-4202 | 2014-04-22 |
| 1720354236 | Houston Arthritis Associates Services | Internal Medicine | 7515 Main St Ste 670, Houston, TX 77030-4599 | 2012-03-29 |
| 1861780629 | Niharika Ganti | Internal Medicine | 13300 Hargrove Road, Suite 505, Houston, TX 77070 | 2011-07-14 |
| 1568692820 | Muhammad Aleem Imran | Internal Medicine | 17070 Red Oak Dr Ste 209, Houston, TX 77090 | 2009-07-21 |
| 1023292513 | Sean Tao Md Ph D Pa | Internal Medicine | 7737 Southwest Fwy Ste 310, Houston, TX 77074-1800 | 2007-12-20 |
| 1205042173 | Vijay R Karia | Internal Medicine | 10111 Grant Rd, Houston, TX 77070-4534 | 2007-05-15 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.