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 provides Surgery Physician services 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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