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Contact Information

THOMAS A WALLER, MD
6300 W PARKER RD
SUITE 125
PLANO, TX75093-8100
 Phone: 469-800-4400
 Fax: 469-800-4410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THOMAS A WALLER · (Male)

NPI # 1760410187
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 09/18/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J2407
  • TX Medicaid 118387304
  • TX Medicaid 118387306
  • TX Medicaid 118387307
  • TX Medicaid 118387308
  • TX Other 8CX368 BCBSTX
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO - (Acute Care)
    6200 W PARKER RD
    PLANO, TX 75093
  • THE HEART HOSPITAL BAYLOR PLANO - (Acute Care)
    1100 ALLIED DRIVE
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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