Active NPI
Alicia Regina Walls, M.D.
- Developmental - Behavioral Pediatrics Physician
- Sugar Land, TX
National Provider Identifier
1124373501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- P5755
- Practice address
- 17520 W Grand Pkwy S Ste 120
Sugar Land, TX 77479-4759 - Phone
- (281) 298-1144
- Fax
- (281) 298-1133
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P5755 | TX | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | P5755 | TX | Primary |
Addresses
Primary practice location
17520 W Grand Pkwy S Ste 120
Sugar Land, TX 77479-4759
Mailing address
14960 Park Row Dr
Houston, TX 77084-5165
Phone (281) 298-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Pediatrics | Past | Accepting new patients |
| Southwest Pediatric Associates of Sugar Land, PA | Pediatrics | Past | Accepting new patients |
| Shaun S. Varghese, M.D., PLLC | Past | Accepting new patients |
Interoperability endpoints
- alicia.walls@think.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Houston Institute of Neurology for Kids
- Neurology with Special Qualifications in Child Neurology Physician
- Shenandoah, TX
- NPI 1497168546
-
dba Town Center Pediatrics
- Pediatrics Physician
- Sugar Land, TX
- NPI 1881736999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1124373501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14960 PARK ROW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845165",
"telephone_number": "281-298-1144",
"fax_number": "281-297-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S STE 120",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794759",
"telephone_number": "281-298-1144",
"fax_number": "281-298-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "ALICIA",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P5755",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "P5755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.