Jack D Waller MD

  • NPI 1710980057
According to our database, the NPI number for Jack D Waller MD is 1710980057 and activated since 18 years ago. Jack D Waller MD is an individual provider who specializes in Specialist, and the primary practice location is 1400 S Coulter St, Amarillo, TX 79106. You can also contact Jack D Waller MD via telephone number is (806) 354-5660. Provider NPI information was last updated on 10/13/2011.

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Overview of Jack D Waller MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/31/2005
  • Last updated: 10/13/2011

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1400 Wallace Blvd
    Attn: Credentialing Dept.
    Amarillo, TX 79106
  • Phone: 806-354-5585
  • Fax: 806-356-4673

Provider Practice Location

  • Address: 1400 S Coulter St
    Amarillo, TX 79106
  • Phone: 806-354-5660
  • Fax: 806-354-5717

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 100164990A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack D Waller MD?
  • A: The npi number for Jack D Waller MD is 1710980057.
  • Q: What are Jack D Waller MD's specialties?
  • A: Jack D Waller MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for Jack D Waller MD?
  • A: The medical license number for Jack D Waller MD is unknow and issued in unknow in USA.
  • Q: Where is Jack D Waller MD practice location?
  • A: Jack D Waller MD is practicing at 1400 S Coulter St, Amarillo, TX 79106.
  • Q: How to contact Jack D Waller MD?
  • A: You can contact Jack D Waller MD via 806-354-5660.