MEDICARE: DR. JOSEPH ANTHONY WALTER M.D.

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	174400000X	Specialist	E4748	TX

General Provider Information

NPI Number	:	1760482137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY WALTER M.D.

Provider Business Mailing Address
First Line	:	1526 BANKS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6020
Country	:	US
Telephone Number	:	713-522-8760
Fax Number	:	713-522-8790

Provider Business Practice Location Address
First Line	:	1526 BANKS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6020
Country	:	US
Telephone Number	:	713-522-8760
Fax Number	:	713-522-8790

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/03/2007

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Directions to “ DR. JOSEPH ANTHONY WALTER M.D.” Practice Location

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