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NPI Code Detail

MEDICARE: DR. RAYMOND JAMES WALSH MD

MEDICARE: DR. RAYMOND JAMES WALSH MD
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
1207P00000XEmergency Medicine PhysicianM-2104GU
2207P00000XEmergency Medicine PhysicianM4977TX
3207P00000XEmergency Medicine Physician23828OK

General Provider Information

NPI Number : 1306983093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND JAMES WALSH MD
Provider Business Mailing Address
First Line : 4636 N JOSEY LN APT 2611
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4646
Country : US
Telephone Number : 214-608-4941
Fax Number :
Provider Business Practice Location Address
First Line : 4424 BLACK OTTER TRL
Second Line :
City : DALLAS
State : TX
Zip : 75287-5106
Country : US
Telephone Number : 214-608-4941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 03/09/2018

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