Individual
WALTER WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 S W S YOUNG DR STE 407, KILLEEN, TX 76542-3374
(254) 252-3748
(254) 549-0086
Mailing address
3800 S W S YOUNG DR STE 407, KILLEEN, TX 76542-3374
(254) 252-3748
(254) 549-0086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
149920-1
NY
2084P0800X
Psychiatry Physician
Primary
149920-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816344
—
NY
Enumeration date
07/11/2006
Last updated
01/30/2019
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