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Dr. Ephraim Isaac Thaller
Allergy & Immunology Physician in Waco, Texas
NPI 1245285022

Ephraim Isaac Thaller is an Allergy & Immunology Physician based in Waco, TX. Ephraim Isaac Thaller practices in Waco, TX. The NPI Number for Ephraim Isaac Thaller is 1245285022 and holds a License No. L4144 (Texas).

The current practice location address for Ephraim Isaac Thaller is 333 Londonderry Dr, Waco, TX and can be reached out via phone at 254-751-1144 and via fax at 254-751-1185.

Location: 333 Londonderry Dr, Waco, TX, 76712-7900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245285022
Provider Name
Ephraim Isaac Thaller
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 Londonderry Dr, Waco, TX, 76712-7900
Phone Number
254-751-1144
Fax Number
254-751-1185
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180355301 05 TX
00712N 01 TX MEDICARE GROUP PTAN
P00428353 01 RAILROAD MEDICARE
151825100 01 FIRST CARE
8V9670 01 BCBS
institution
Provider Business Practice Location Address Details
Address
333 Londonderry Dr
City
Waco
State
Texas
Zip
76712-7900
Phone Number
254-751-1144
Fax Number
254-751-1185
person
Provider Business Mailing Address Details
Address
333 Londonderry Dr
City
Waco
State
Texas
Zip
76712-7900
Phone Number
254-751-1144
Fax Number
254-751-1185
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
L4144 (Texas)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
L4144 (Texas)
Definition
Definition to come...
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