Jack D Waller

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NPI Number Detailed Information

Provider Information:

Name:	Jack D Waller
Gender:	M
Provider License Number If Given:

NPI Information:

NPI:	1710980057
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/31/2005
Last Update Date:	10/13/2011

Provider Business Mailing Address:

Address:	1400 WALLACE BLVD ATTN: CREDENTIALING DEPT. Amarillo, TX 79106
Phone Number:	8063545585
Fax Number:	8063564673

Provider Business Practice Location Address:

Address:	1400 S COULTER ST Amarillo, TX 79106
Phone Number:	8063545660
Fax Number:	8063545717

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):	207N00000X
State:	TX

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About Jack D Waller

Jack D Waller ( JACK D WALLER ) is An Specialist Physician in Amarillo, TX. The NPI Number for Jack D Waller is 1710980057.

The current location address for Jack D Waller is 1400 S COULTER ST Amarillo, TX 79106 and the contact number is 8063545585 and fax number is 8063564673. The mailing address for Jack D Waller is 1400 WALLACE BLVD ATTN: CREDENTIALING DEPT. Amarillo, TX 79106- 8063545660 (mailing address contact number - 8063545585).

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs:

What is the NPI Number for Jack D Waller ?

Answer: The NPI Number for Jack D Waller is 1710980057

Where is Jack D Waller located?

Answer: Jack D Waller is located at 1400 S COULTER ST Amarillo, TX 79106.

What is the specialty for Jack D Waller ?

Answer: The Specialty of Jack D Waller is An Specialist Physician.

Are there any online reviews for Jack D Waller ?

Answer: Not yet!

Are there any other health care providers in Amarillo, TX?

Answer: Yes, there are given below...

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