Holli Waller (NPI# 1053622167, PAC ID# 6800043977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053622167 |
| PAC ID by PECOS | 6800043977 |
| Professional Enrollment ID | I20140327000229 |
| Full Name | Holli Waller |
| Organization Legal Name | HAN PHAM HULEN, MD PA |
| Address |
7777 Forest Ln Suite C239 Dallas TX 75230-7522 |
| Phone Number | 9725664868 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 2264531276 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450670 | TOMBALL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7777 Forest Ln, Suite C239, Dallas, TX 75230-7522 | 9725664868 | HAN PHAM HULEN, MD PA |
| 733 S Fleishel Ave, Tyler, TX 75701-2015 | 9036065447 | HAN PHAM HULEN, MD PA |
| Organization Legal Name | HAN PHAM HULEN, MD PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Springmeyer | Family Medicine | Han Pham Hulen, Md Pa | 733 S Fleishel Ave, Tyler, TX 75701-2015 |
| Le Tchen | Physician Assistant | Han Pham Hulen, Md Pa | 9330 Poppy Dr, Suite 201, Dallas, TX 75218-4623 |
| Kate Megan Murphy | Nurse Practitioner | Han Pham Hulen, Md Pa | 7777 Forest Ln, Suite C239, Dallas, TX 75230-7522 |
| Autumn Michelle Savage | Undersea and Hyperbaric Medicine | Han Pham Hulen, Md Pa | 27800 Northwest Fwy, Cypress, TX 77433-5302 |
| Nichole K Johnson | Undersea and Hyperbaric Medicine | Han Pham Hulen, Md Pa | 4001 W 15th St, 100 Plano, Plano, TX 75093-5837 |
| Midhat Syed | Physician Assistant | Han Pham Hulen, Md Pa | 17101 Dallas Pkwy, Addison, TX 75001-7103 |
| Kelli Twedell | Physician Assistant | Han Pham Hulen, Md Pa | 17101 Dallas Pkwy, Addison, TX 75001-7103 |
| Amanda Ann Bell | Physician Assistant | Han Pham Hulen, Md Pa | 9330 Poppy Dr, Suite 201, Dallas, TX 75218-4623 |
| Robert P Shackelford | Undersea and Hyperbaric Medicine | Han Pham Hulen, Md Pa | 9330 Poppy Dr, Suite 201, Dallas, TX 75218-4623 |
| Huan Nguyen | Family Medicine | Han Pham Hulen, Md Pa | 17101 Dallas Pkwy, Addison, TX 75001-7103 |
| Street Address |
7777 FOREST LN SUITE C239 |
| City | DALLAS |
| State | TX |
| Zip | 75230-7522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahad Manzoor Ul Hassan | Interventional Cardiology | Cardiology Specialists of North Texas, Pllc | 7777 Forest Ln, C339, Dallas, TX 75230-2544 |
| Jacqueline Nicole Horst | Pulmonary Disease | Questcare Intensivists Pllc | 7777 Forest Ln, Dallas, TX 75230-2571 |
| Tim R Tarkenton | Obstetrics/gynecology | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| Greta J Kissel | Nurse Practitioner | Columbia Hospital At Medical City Dallas Subsidiary Lp | 7777 Forest Ln, Dallas, TX 75230-2571 |
| Vidya Nandipati | Internal Medicine | 7777 Forest Ln, Dallas, TX 75230-2571 | |
| Jane Farrar Admire | Otolaryngology | 7777 Forest Ln, C100, Dallas, TX 75230-2512 | |
| Michael G Meador Jr. | Physician Assistant | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| John Demopulos | Internal Medicine | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| Kate Megan Murphy | Nurse Practitioner | Han Pham Hulen, Md Pa | 7777 Forest Ln, Suite C239, Dallas, TX 75230-7522 |
| Ambareen Salam | Internal Medicine | 7777 Forest Ln, Suite C650, Dallas, TX 75230-6867 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John N Melek | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Albert H Quan | Pediatric Medicine | Albert H Quan Md Pa | 777 Forest Ln, Suite 31, Dallas, TX 75230 |
| Geoffrey W Burnham | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Bhoomi H Sutaria | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Celina Denise Cepeda | Pediatric Medicine | Albert H Quan Md Pa | 777 Forest Ln, Suite 31, Dallas, TX 75230 |
| Veronica N Shaw | Nurse Practitioner | North Dallas Pain and Wellness Pllc | 12835 Preston Rd, Suite 405, Dallas, TX 75230-1294 |
| David L Cobbs | Psychologist, Clinical | 12900 Preston Rd, Suite 1015, Dallas, TX 75230-1339 | |
| Erwin A Cruz | Neurology | 12800 Preston Rd, Suite 101, Dallas, TX 75230-1366 | |
| Luke Alan Arnett | Chiropractic | 12800 Preston Rd, Suite 201, Dallas, TX 75230-1368 | |
| Jamie D Wilson | Psychologist, Clinical | 6750 Hillcrest Plaza Dr, Suite 203, Dallas, TX 75230-1439 | |
| Find all physicians in zip 75230 | |||
| City | DALLAS |
| Zip Code | 75230 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DALLAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Holli Waller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.