Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10042772 | TX |
N | 111NI0900X | Internist | BP10042772 | TX |
Y | 2084N0400X | Neurologist | BP20048261 | TX |
NPI | 1013275304 |
---|---|
Provider Name | Dr. Walter Paul Werchan |
First Address | Austin, TX 78701-7201 |
Second Address | Austin, TX 78701-7201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 17/05/2016 |