Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Waller Medical Clinic, PA

Organization Surgery Physician · NPI 1518091925

Waller Medical Clinic, PA is a Surgery Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11301 Fallbrook Dr Ste 101
Houston, TX 77065-4237
Phone: (281) 890-9146
Fax: (281) 894-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence F2902 (TX)

Record details

NPI number1518091925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pon Satitpunwaycha — Doctor · (281) 890-9146
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11301 Fallbrook Dr, Ste 101, Houston, TX 77065-4237

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