Wayne Wallen, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12493 Issued in TX

Practice address

174 Yale St Ste 500
Houston, TX 77007-3749

Phone

(713) 588-0859

NPI assigned

Jan 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1235595133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TUSCARORA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734730",
            "telephone_number": "832-457-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 YALE ST STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073749",
            "telephone_number": "713-588-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnee Wallace, DO
• Shernique Wallace, DDS
• Sowdhamini Shettigar Wallace, D.O.
• Stephanie Wallace, MS, CGC
• Rebecca Burditt Walle, RN
• Waller Medical Clinic, P.a.
• John Christopher Waller-Delarosa, M.D.
• Gaytha Waller
• Julie Waller
• Kandie A Waller, NP-C

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.