| Waller Family Health Systems Llc | |
|
4210 Ridge Rd Ste 102 Heath TX 75032-6602 | |
| (972) 722-0054 | |
| (972) 722-0096 |
| Full Name | Waller Family Health Systems Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4210 Ridge Rd, Heath, Texas |
| Authorized Official Name and Position | David Michael Waller (OWNER, DOCTOR) |
| Authorized Official Contact | 9727220054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waller Family Health Systems Llc 4550 Sky Harbor Dr Rockwall TX 75087-0629 Ph: (903) 629-5087 | Waller Family Health Systems Llc 4210 Ridge Rd Ste 102 Heath TX 75032-6602 Ph: (972) 722-0054 |
| NPI Number | 1861720849 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 3072656313 |
|---|---|
| Medicare Enrollment ID | O20100211000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861720849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8656 (Texas) | Primary |
| Provider Name | David M Waller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023195781 PECOS PAC ID: 5193709582 Enrollment ID: I20040614001710 |
| Provider Name | Matthew Steven Claggett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285146712 PECOS PAC ID: 3971837287 Enrollment ID: I20200521003179 |
| Provider Name | Taylor-marie Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699536375 PECOS PAC ID: 3072966365 Enrollment ID: I20240202001964 |
| Provider Name | Kaci D Bartlett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639930316 PECOS PAC ID: 1355784307 Enrollment ID: I20240207001897 |
| Provider Name | Christopher Carl Neely |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780207902 PECOS PAC ID: 3971924804 Enrollment ID: I20240307000528 |
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