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Jason Waller

NPI 1942970587 · on the registry since 2021

Practice

Address
4415 Loop 322
Abilene, TX 79602
Phone
(325) 386-3466
Organisation at this address
Russell Liles, O.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-09

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