OrganizationActive
Michael N Wall, MD
NPI 1063678894 · Nephrology Physician · Shavano Park, TX
Michael N Wall, MD is a Nephrology Physician organization in Shavano Park, TX (NPI 1063678894).
Provider details
- NPI number
- 1063678894
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Wall, President(210) 558-6288
- License
- G1227 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4085 De Zavala Rd
Suite 200
Shavano Park, TX 78249-2084
Phone: (210) 558-6288
Fax: (210) 558-6289
Street-level locationGet directions
Mailing address
Po Box 1606
San Antonio, TX 78296-1606
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2015-03-25
Frequently asked questions
- What is Michael N Wall, MD's NPI number?
- Michael N Wall, MD's National Provider Identifier (NPI) is 1063678894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael N Wall, MD?
- Michael N Wall, MD is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael N Wall, MD located?
- Michael N Wall, MD's practice location on file with NPPES is 4085 De Zavala Rd, Shavano Park, TX 78249-2084.
- What is Michael N Wall, MD's phone number?
- The practice phone number listed in the NPPES registry for Michael N Wall, MD is (210) 558-6288.
- Who is the authorized official for Michael N Wall, MD?
- The authorized official listed on Michael N Wall, MD's NPPES record is Michael Wall, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael N Wall, MD's NPI active?
- Yes — Michael N Wall, MD's NPI (1063678894) is active in the NPPES registry as of the last update on 2015-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.