Michael James Walls MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6047 Issued in TX

Legal business name

MICHAEL JAMES WALLS MD

Doing business as

Kidney Specialists of The Woodlands and Conroe, P.A.

Practice address

4015 I 45 N Ste 310
Conroe, TX 77304-5077

Phone

(936) 520-8983

Fax

(936) 463-6508

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Michael J Walls, M.D.

Title

President/Owner

Phone

(936) 520-8983

Specialties & licenses 1

Addresses

Other names 1

• Kidney Specialists of The Woodlands and Conroe, P.A. Doing business as

Locations

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1386170843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 I 45 N STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045077",
            "telephone_number": "936-520-8983",
            "fax_number": "936-463-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 I 45 N STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045077",
            "telephone_number": "936-520-8983",
            "fax_number": "936-463-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JAMES WALLS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "936-520-8983",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Specialists of The Woodlands and Conroe, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney Specialists of The Woodlands and Conroe, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guadalupe Mexicano, MS, LAT, ATC
• Leah Meyer, PMHNP-BC
• Virginia Diane Meyer, N.P.
• Michael a Gerlach DDS PLLC
• Michael D Higgins DDS Inc
• Michael Nell PC
• Avery Michalk
• Michelle L. Smith, Ma, LPC
• Stefanie Lynne Mickey, CPNP
• John D Middlebrook, M.D.

• Specialist in Conroe, TX
• Providers in Conroe, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.