DR. STEPHEN B WALLER


Address: 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135
Phone: 9725506190

DR. STEPHEN B WALLER (NPI# 1891727269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891727269
Entity Type Individual
Full Name DR. STEPHEN B WALLER
Credential D.C.
Practice Address 1121 Kinwest Pkwy
Suite 100
Irving
TX 75063-3135
Mailing Address Po Box 631907
Irving
TX 75063-0038
Practice Telephone 9725506190
Practice Fax Number 9725506013
Mailing Telephone 9725506190
Mailing Fax Number 9725506013
Enumeration Date 2006-07-07
Last Update Date 2016-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 9828 TX Chiropractic Providers

Other Providers STEPHEN WALLER

NPI Name Taxonomy Address Enumeration
1285678680 Stephen C Waller Physician Assistant 6925 Shallowford Rd, Suite 206, Chattanooga, TN 37421-1787 2006-06-15
1477699205 Stephen Frank Waller Specialist 333 N Rivershire Dr, Suite 265, Conroe, TX 77304-0001 2007-01-29
1043313968 Stephen C Waller Internal Medicine 3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028, Kansas City, KS 66160 2006-09-06
1629057609 Stephen Glenn Waller Ophthalmology 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 2006-01-10

Office Location

Street Address 1121 KINWEST PKWY
SUITE 100
City IRVING
State TX
Zip Code 75063-3135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124315775 Waller Chiropractic, Inc. Chiropractor 1121 Kinwest Pkwy, Irving, TX 75063-3135 2011-07-05
1306152566 Advanced Spinal Therapy Chiropractor 1121 Kinwest Pkwy, Ste 100, Irving, TX 75063-3135 2010-08-26
1689997264 Total Body Rehab and Wellness Chiropractor 1121 Kinwest Pkwy, Ste: 100, Irving, TX 75063-3135 2010-03-10
1023249489 Renewed Chiropractic and Wellness Center, Pllc Chiropractor 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 2009-08-04
1134355100 Pinnacle Health Chiropractic Chiropractor 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 2009-06-04
1790944809 St Onge Chiropractic & Sports Therapy Chiropractor 1121 Kinwest Pkwy, 100, Irving, TX 75063-3135 2008-06-04
1952598195 Injury Assistance Centers, Inc. Chiropractor 1121 Kinwest Pkwy, Suite 100, Irving, TX 75063-3135 2007-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386288868 Fiesta Lifecare Pharmacy 8 LLC Pharmacy 412 E Riley St, Freer, TX 75063 2019-10-29
1013578491 Bobbie Snow Masenda Nurse Practitioner 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 2019-06-26
1164989620 Ellen Green Occupational Therapist 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 2019-02-20
1417412503 Heda Enterprises, Pllc Optometrist 2400 Martket Place Blvd, # 180, Irving, TX 75063 2019-02-04
1861956542 Hannah Kennedy Specialist/Technologist 8249 Ranchview Dr Apt 3087, Irving, TX 75063 2019-01-26
1447732805 Ziprad Inc Clinic/Center 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 2018-09-02
1457831646 Laura Robinson Specialist/Technologist 8641 Mill Creek Rd, Irving, TX 75063 2018-08-16
1457845208 Padmaja Jagdish Ambre Nurse Practitioner 516, Raton Pass, Irving, TX 75063 2018-06-15
1407394588 Optum Infusion Services 500, Inc. Pharmacy 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 2017-02-08
1376086561 Mika Claire Smith Social Worker 1175 Kinwest Pky, #100, Irving, TX 75063 2016-11-21
Find all providers in zip 75063

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790309987 William Greenlee Chiropractor 647 E Royal Ln Apt 2017, Irving, TX 75039-3640 2020-06-03
1366081788 Eric Louis Munoz Chiropractor 2240 Market Place Blvd Ste 160, Irving, TX 75063-8099 2020-01-02
1184105025 Andrea Ibarra Chiropractor 501 Northwest Hwy Apt 1108, Irving, TX 75039-3619 2018-08-28
1962900902 Caroline Evelyn Graham Chiropractor 800 W Airport Fwy Ste 810, Irving, TX 75062-6285 2018-01-24
1225549124 Arrow Spine and Sport Pllc Chiropractor 3150 Premier Dr Ste 126, Irving, TX 75063-2672 2017-10-18
1043749922 Leila Meredith Doolittle Chiropractor 600 E John Carpenter Fwy Ste 354, Irving, TX 75062-3990 2017-06-05
1932634672 Superior Health & Wellness Center Chiropractor 1425 W Pioneer Dr Ste 112, Irving, TX 75061-7124 2017-05-01
1619412301 Them Bones Chiropractic Chiropractor 10405 N Macarthur Blvd Apt 315, Irving, TX 75063-7748 2017-01-04
1508314022 Michael Kale Allison Chiropractor 825 W Royal Ln Ste 240, Irving, TX 75039-3901 2016-09-13
1942657309 Manuel Nunez Chiropractor 105 Decker Ct Ste 120, Irving, TX 75062-2828 2016-05-16
Find all providers in IRVING

Competitor

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City IRVING
Zip Code 75063

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Dataset Information

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.

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