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NPI Code Detail

MEDICARE: CARL PETER WALTHER M.D.

MEDICARE: CARL PETER WALTHER 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 PhysicianP2557TX
2207RN0300XNephrology PhysicianP2557TX

Other Identifiers

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

General Provider Information

NPI Number : 1356678684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL PETER WALTHER M.D.
Provider Business Mailing Address
First Line : 6620 MAIN ST STE 11B.38
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2348
Country : US
Telephone Number : 713-798-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2525A HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4124
Country : US
Telephone Number : 713-526-4243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2009
Last Update Date : 04/04/2025

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Directions to “ CARL PETER WALTHER M.D.” Practice Location

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