Philip a. Waller, MD, PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

J3933 Issued in TX

Legal business name

PHILIP A. WALLER, MD, PA

Practice address

11003 Resource Pkwy Ste 104
Houston, TX 77089-6142

Phone

(281) 481-8557

Fax

(281) 484-7916

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip A Waller, MD, PANPI 1588630578

Title

Owner

Phone

(281) 481-8557

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: philip.waller@paw.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BACJAA

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip A Waller, M.D.

  • Rheumatology Physician
  • Houston, TX
  • NPI 1588630578
  Medicare reassignment NPD Authorized official
• Christie Behrens, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1518327469
  Medicare reassignment NPD
• Wajeeha Yousaf, MD

  • Rheumatology Physician
  • Houston, TX
  • NPI 1770715765

  Multi-Specialty

  Medicare reassignment NPD
• Pedro Ambriz, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1568008290
  Medicare reassignment
• Marina Aleksandrovna Harris, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1093006439
  Medicare reassignment
• Ann McNeill, PA-C

  • Physician Assistant
  • League City, TX
  • NPI 1043843410
  Medicare reassignment
• Jade Nicole Nemeth, PA-C

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1255188041
  Medicare reassignment

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1639368277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896142",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896142",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. WALLER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-481-8557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "J3933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AW783",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588630578",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5214420001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00063802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.waller@paw.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD and PDF",
            "address_1": "11003 Resource Pkwy Ste 102",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770896142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Treasa Phifer
• Phil-Care LLC
• Elizabeth Catherine Philbin, RN
• Lisa Philbrook, MD
• Philip a Matorin MD PA
• Victor Philip Effiong
• Philip J Cimo DDS PA
• Philip J Cimo DDS PA
• Philip L. Leggett, MD, PLLC
• Philip Yosowitz, M.D., P.a.

• Rheumatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.