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NPI Code Detail

MEDICARE: DR. WALTER PAUL WERCHAN M.D.

MEDICARE: DR. WALTER PAUL WERCHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianBP10042772TX
22084N0400XNeurology PhysicianBP20048261TX
32084N0400XNeurology PhysicianQ8676TX

General Provider Information

NPI Number : 1013275304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER PAUL WERCHAN M.D.
Provider Business Mailing Address
First Line : 101 W LOUIS HENNA BLVD STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78728-1203
Country : US
Telephone Number : 512-244-4272
Fax Number : 512-244-2895
Provider Business Practice Location Address
First Line : 7307 CREEKBLUFF DR
Second Line :
City : AUSTIN
State : TX
Zip : 78750-8203
Country : US
Telephone Number : 512-244-4272
Fax Number : 512-244-2895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 05/17/2026

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