MEDICARE: WALKER EAZE LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1538233614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER EAZE LLC

Provider Business Mailing Address
First Line	:	19219 SOUTH HIGHWAY 28
Second Line	:
City	:	LA MESA
State	:	NM
Zip	:	88044-9621
Country	:	US
Telephone Number	:	505-233-2202
Fax Number	:	505-526-9787

Provider Business Practice Location Address
First Line	:	19219 SOUTH HIGHWAY 28
Second Line	:
City	:	LA MESA
State	:	NM
Zip	:	88044-9621
Country	:	US
Telephone Number	:	505-233-2202
Fax Number	:	505-526-9787

Authorized Official
Title or Position	:	OWNER CEO
Name	:	MR. HOMER VALLES URIBE
Credential	:
Telephone Number	:	505-233-2202

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1396718631 — LA CLINICA DE FAMILIA, INCORPORATED
Practice Location Address:

18420 S HIGHWAY 28
LA MESA, NM
88044-9605

Practice Phone: 575-233-3830
Practice Fax: 575-233-4542

1427187806 — MS. AMY S. BUESING RPH
Practice Location Address:

15395 S HIGHWAY 28
LA MESA, NM
88044-9410

Practice Phone: 505-644-0854
Practice Fax:

1932425931 — MS. AMANDA E SANFORD C.P.M., L.M.
Practice Location Address:

18201 S HIGHWAY 28
LA MESA, NM
88044-9471

Practice Phone: 715-574-3690
Practice Fax:

1922372770 — CAMILLE CISNEROZ PH D
Practice Location Address:

15885 S HIGHWAY 28
LA MESA, NM
88044-9406

Practice Phone: 575-202-1394
Practice Fax:

1598029001 — BLANCA MARTINEZ
Practice Location Address:

1660 SAN JOSE RD
LA MESA, NM
88044-9511

Practice Phone: 575-642-3551
Practice Fax:

Directions to “WALKER EAZE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.