Marcus L. Waller, D.C.

Chiropractor · Desoto, TX

Individual Active NPI

NPI number 1922501097

Practice location

901 N Polk St Ste 349
Desoto, TX 75115-4014
Phone
(214) 613-1995

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NPI record

NPI
1922501097
Entity type
Individual (Type 1)
Enumeration date
March 14, 2018
Last updated
March 14, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 13705 TX

Mailing address

2923 Alyson Way
Grand Prairie, TX 75052-0429
Phone
(708) 256-1435

About Dr. Waller

Marcus L. Waller, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 901 N Polk St Ste 349, Desoto, TX 75115-4014. The NPI number 1922501097 was assigned on March 14, 2018 and the record was last updated on March 14, 2018.

Dr. Waller lists a license in the registry: #13705 (TX) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marcus L. Waller, D.C.?

The NPI number is 1922501097.

What is the phone number of Dr. Waller?

The phone number listed for the practice location is (214) 613-1995.

Where is Dr. Waller located?

901 N Polk St Ste 349, Desoto, TX 75115-4014.

What is the taxonomy code for Dr. Waller?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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