Dr Stephen Glenn Waller, MD is a
Ophthalmology physician based in Lackland A F B, Texas. Dr Stephen Glenn Waller is licensed to practice in Texas (license number M0303) and his current practice location is 2200 Bergquist Dr, Suite 1, Lackland A F B, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 292-6583.
NPI number for Dr Stephen Glenn Waller is 1629057609 and his current mailing address is 232 College Blvd, Alamo Heights, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629057609.
Physician's Profile
Full Name | Dr Stephen Glenn Waller |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 2200 Bergquist Dr, Lackland A F B, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629057609
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stephen Glenn Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629057609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | M0303 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen Glenn Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Stephen Glenn Waller, MD 232 College Blvd, Alamo Heights, TX 78209-4517 Ph: (210) 829-5575 | Dr Stephen Glenn Waller, MD 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 Ph: (210) 292-6583 |
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