MICHAEL N WALL, MD
NPI 1063678894
Internal Medicine - Nephrology in Shavano Park, TX

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Active since July 31, 2008

4085 DE ZAVALA RD, SUITE 200, SHAVANO PARK, TX 78249(210) 558-6288(210) 558-6289 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael N Wall, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL N WALL, MD (NPI 1063678894) is a healthcare organization registered as a nephrology in Shavano Park, Texas and active in the NPI registry since July 2008. The organization lists Michael N Wall, President, as its authorized official.

NPPES Registry Identity

NPI1063678894

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMICHAEL N WALL, MD

Location Address4085 DE ZAVALA RD, SUITE 200Shavano Park, TX 78249-2084

Mailing AddressPo Box 1606San Antonio, TX 78296-1606 · (210) 558-6299 · Fax (210) 558-6289

Phone(210) 558-6288

Fax(210) 558-6289

Organization SubpartNo

Authorized OfficialMichael N WallPresident · (210) 558-6288

Enumeration DateJuly 31, 2008

Last NPPES UpdateMarch 25, 2015

✔ NPI 1063678894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · G1227

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

4085 DE ZAVALA RD, Shavano Park, TX 78249

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Other Identifiers 2

Medicare PIN00PR62TX

Medicaid035387201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP