Waller Medical Clinic, P.a.

NPI 1518091925 - Surgery - 208600000X

NPI Details
NPI 1518091925
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PON PON
Position DOCTOR
Phone (281) 890-9146
Fax (281) 894-1115
Practice Location
11301 FALLBROOK DR
STE 101
HOUSTON TX, 77065-4237, US
Phone (281) 890-9146
Fax (281) 894-1115
Business Location
11301 FALLBROOK DR
STE 101
HOUSTON TX, 77065-4237, US
Phone (281) 890-9146
Fax (281) 894-1115
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number F2902
Remove 1518091925 NPI Number
 

According to our database, Waller Medical Clinic, P.a. NPI is 1518091925, taxonomy code is 208600000X and license number is F2902, license state is located at Texas. Waller Medical Clinic, P.a. physically located at 11301 Fallbrook Dr, Houston TX, 77065-4237. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1518091925 NPI number is provided on an as is basis without warranty of any kind. 1518091925 is maintained by the National Plan & Provider Enumeration System. The contents of Waller Medical Clinic, P.a. are for informational purposes only.