Dr. Stephen Frank Waller , MD
Specialist • Conroe, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Waller has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Waller, MD was a registered Specialist practicing in Conroe, TX. Throughout an active medical career spanning 13 years, Dr. Waller provided care at the practice location at 333 N RIVERSHIRE DR until profile deactivation on 2020-10-21.
Practice Location & Contact Primary Location
333 N Rivershire Dr
Suite 265
Conroe, TX 773040001
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Conroe, TX
Practicing in Conroe, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Speech-Language Pathologist
Dentist - General Practice
Doctor of Dental Surgery
Pediatrics
Doctor of Medicine (M.D.)
Dentist - General Practice
Doctor of Dental Surgery
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 21, 2020
NPI status registered as active in NPPES database
Registered at 333 N RIVERSHIRE DR, SUITE 265, CONROE, TX 773040001 (Tel: 9365396771)
Registered at 333 N RIVERSHIRE DR, SUITE 265, CONROE, TX 773040001 (Tel: 9365396771)
Recorded as STEPHEN WALLER, M.D.
Specialist (License #F8724 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
333 N Rivershire Dr, Suite 265
Conroe, TX 773040001
Phone: 9365396771
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