MICHAEL JAMES WALLS (NPI# 1679579791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679579791 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES WALLS |
| Credential | M.D. |
| Practice Address |
4015 I 45 N Ste 310 Conroe TX 77304-5077 |
| Mailing Address |
Po Box 95533 Grapevine TX 76099-9703 |
| Practice Telephone | 9365208983 |
| Practice Fax Number | 9364636508 |
| Mailing Telephone | 9365208983 |
| Mailing Fax Number | 9364636508 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J6047 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 102913404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1124141411 | Michael Robert Walls | Occupational Therapist | 435 Main St Ste A, Franklin, TN 37064-2757 | 2007-04-09 |
| 1083888325 | Michael Jason Walls | Pain Medicine | 320 Thomas More Pkwy, Suite 202, Crestview Hills, KY 41017-3410 | 2008-04-17 |
| 1497877526 | Michael C Walls | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290-1028 | 2007-04-06 |
| 1841273992 | Michael Edward Walls | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2005-11-22 |
| 1063415875 | Michael W Walls | Nurse Anesthetist, Certified Registered | 1 E New York Ave, Somers Point, NJ 08244-2340 | 2005-05-24 |
| Street Address |
4015 I 45 N STE 310 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-5077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811484801 | Kidney Specialists of The Woodlands and Conroe | Internal Medicine | 4015 I 45 N Ste 310, Conroe, TX 77304-5077 | 2018-04-16 |
| 1891215307 | Hospitalists of The Woodlands | Specialist | 4015 I 45 N Ste 310, Conroe, TX 77304-5077 | 2017-06-26 |
| 1386170843 | Michael James Walls Md | Specialist | 4015 I 45 N Ste 310, Conroe, TX 77304-5077 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643980 | Woodlands Vascular Access Center LLC | Specialist | 17191 St Lukes Way Ste 280, Conroe, TX 77384-8043 | 2014-06-10 |
| 1013251990 | Kas Surgical Assistants LLC | Specialist | 3300 N Loop 336 W Apt 717, Conroe, TX 77304-3436 | 2012-11-16 |
| 1124280821 | Bullock Ob/gyn Pa | Specialist | 500 Medical Center Blvd Ste 200, Conroe, TX 77304-2800 | 2008-06-25 |
| 1922271295 | Mobolaji Odelowo M.d., P.a. | Specialist | 600 S Conroe Medical Dr Ste 102, Conroe, TX 77304-5341 | 2008-04-08 |
| 1891917290 | Franklin M Douglis Md Pa | Specialist | 3000 W Davis, Conroe, TX 77304-2072 | 2007-05-03 |
| 1215018569 | Wilmer Leo Wuest | Specialist | 333 N Rivershire Dr Ste 240, Conroe, TX 77304-2711 | 2006-10-17 |
| 1992802425 | Southeast Texas Hyperbaric Medicine | Specialist | 500 Medical Center Blvd Ste 110, Conroe, TX 77304-2800 | 2006-09-19 |
| 1194759258 | Yaiyun Judy Cheng | Specialist | 303 Longmire Rd, Ste 301, Conroe, TX 77304-2176 | 2006-07-11 |
| 1518958230 | Jerome Clayton Young | Specialist | 508 Medical Center Blvd, Ste 150, Conroe, TX 77304-2808 | 2005-11-02 |
| 1699771675 | John Edward Bock | Specialist | 800 Riverwood Ct, Ste 104, Conroe, TX 77304-2824 | 2005-06-23 |
| Find all providers in CONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.