PHILIP A. WALLER, MD, PA – NPI #1639368277
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

PHILIP A. WALLER, MD, PA is a provider located in HOUSTON, TX. NPPES has assigned the NPI number 1639368277 to PHILIP A. WALLER, MD, PA on October 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was last updated on May 01, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILIP A. WALLER, MD, PA below.

NPI Profile for
PHILIP A. WALLER, MD, PA

NPI Number
1639368277
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHILIP A. WALLER, MD, PA
Primary location
11003 RESOURCE PKWY STE 104
HOUSTON, TX 77089-6142
Phone: (281) 481-8557 Fax: (281) 484-7916
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHILIP WALLER
OWNER
Phone: (281) 481-8557
Updated
Certification Date
May 01, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHILIP A. WALLER, MD, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSTX8AW783
otherDMETX5214420001
otherINDIVIDUAL NPITX1588630578
otherRRMCTXP00063802
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)		 TX J3933

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
11003 RESOURCE PKWY STE 102,
HOUSTON, TX 77025-1669