MEDICARE: PATRICK WALKER LBSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	27864	TX

General Provider Information

NPI Number	:	1154739688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK WALKER LBSW

Provider Business Mailing Address
First Line	:	3323 MCCUE RD
Second Line	:	APT. 1522
City	:	HOUSTON
State	:	TX
Zip	:	77056-7134
Country	:	US
Telephone Number	:	832-515-8307
Fax Number	:

Provider Business Practice Location Address
First Line	:	3323 MCCUE RD
Second Line	:	APT. 1522
City	:	HOUSTON
State	:	TX
Zip	:	77056-7134
Country	:	US
Telephone Number	:	832-515-8307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	03/01/2026

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