Waller Medical Clinic, P.a.

NPI #1518091925 in Houston, Texas

Provider Information

NPI Number: 1518091925
Entity Type: Organization
Organization Name: Waller Medical Clinic, P.a.
Primary Specialty: Surgery
Enumeration Date: Mar 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 11301 FALLBROOK DR
Address 2: STE 101
City: Houston
State: Texas
ZIP Code: 77065-4237
Phone: (281) 890-9146

Authorized Official

Name: DR. PON SATITPUNWAYCHA, M.D., F.A.C.S.
Title: DOCTOR
Phone: (281) 890-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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