NPI 1245285022

Ephraim Isaac Thaller

Practitioner Allergy & Immunology Physician Waco, TX

Practice location

Address: 333 Londonderry Dr Suite 100, Waco, TX 76712-7900
Phone: (254) 751-1144
Fax: (254) 751-1185

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence L4144 (TX)

Other Allergy & Immunology providers in Texas →

Allergy Physician

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence L4144 (TX)

Registry record

NPI: 1245285022
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.