MEDICARE: DR. RONALD WAYNE KILLAM MD

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
1	207R00000X	Internal Medicine Physician	H5715	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	810621291	OTHER	TX	TAX IDENTIFICATION
4	8Z1542	OTHER	TX	BLUECROSS BLUESHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	460986471	OTHER	TX	TAX IDENTIFICATION
7	8K3280	OTHER	TX	BLUE CROSS SHIELD
8	1518219104	OTHER	TX	GROUP NPI
9	00511B	OTHER	TX	BLUECROSS BLUESHIELD
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013960228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD WAYNE KILLAM MD

Provider Business Mailing Address
First Line	:	PO BOX 96706
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77213-6706
Country	:	US
Telephone Number	:	713-330-0766
Fax Number	:	877-862-8370

Provider Business Practice Location Address
First Line	:	11110 EAST FWY STE 100A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1914
Country	:	US
Telephone Number	:	713-330-0766
Fax Number	:	877-862-8370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/21/2025

Similar Medicare Providers

1932103744 — DR. ALVARO RENE GARCIA M.D.
Practice Location Address:

11110 EAST FWY
HOUSTON, TX
77029-1914

Practice Phone: 713-461-2915
Practice Fax: 713-461-5307

1467557231 — ALVARO R GARCIA, MD, PA
Practice Location Address:

11110 EAST FWY
HOUSTON, TX
77029-1914

Practice Phone: 713-450-3505
Practice Fax: 713-451-4321

1689766545 — PROVISION IMAGING OF EAST HOUSTON
Practice Location Address:

11110 EAST FWY
HOUSTON, TX
77029-1914

Practice Phone: 713-637-6905
Practice Fax: 713-637-6940

1689810517 — STAR REX PHARMACY LLC
Practice Location Address:

11110 EAST FWY , 100B
HOUSTON, TX
77029-1914

Practice Phone: 832-767-0816
Practice Fax: 832-767-0819

1407111941 — ONE STEP DIAGNOSTIC X LP
Practice Location Address:

11110 EAST FWY , SUITE 100A
HOUSTON, TX
77029-1914

Practice Phone: 713-461-7272
Practice Fax:

1396332235 — MISS GLENDA HALL AGPCNP-BC
Practice Location Address:

11110 EAST FWY STE 200
HOUSTON, TX
77029-1914

Practice Phone: 713-450-3505
Practice Fax: 713-451-4321

Directions to “ DR. RONALD WAYNE KILLAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.