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NPI Code Detail

MEDICARE: KARLA TERESA WALLER M.D.

MEDICARE: KARLA TERESA WALLER 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
1207V00000XObstetrics & Gynecology PhysicianP8880TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174880827
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA TERESA WALLER M.D.
Provider Business Mailing Address
First Line : 6210 E HIGHWAY 290
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1142
Country : US
Telephone Number : 512-483-9569
Fax Number : 512-406-6216
Provider Business Practice Location Address
First Line : 1401 MEDICAL PKWY STE 200
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-5026
Country : US
Telephone Number : 512-260-1581
Fax Number : 512-406-7309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 10/01/2025

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Directions to “ KARLA TERESA WALLER M.D.” Practice Location

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