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Travis Waller
NPI 1184093775 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4321 Kingwood Dr
Suite 177
Kingwood, TX 77339 - Phone
- (281) 883-6748
- Organisation at this address
- Great Life Home Care, Llc
Empowered Psychological Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- In Home Supportive Care Agency
253Z00000X
- Sex
- Male
- Record last updated
- 2015-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas