Individual
CHARLES F. WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
321 N BAILEY AVE, FORT WORTH, TX 76107-1001
(817) 378-8573
Mailing address
321 N BAILEY AVE, FORT WORTH, TX 76107-1001
(817) 378-8573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
564644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83479U
BLUE CROSS
TX
Enumeration date
02/07/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us