MEDICARE: DR. GEORGE E. WALKER DDS

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	1223G0001X	General Practice Dentistry	10649	TX

General Provider Information

NPI Number	:	1861495277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE E. WALKER DDS

Provider Business Mailing Address
First Line	:	1255 ASHBY ST
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-9757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 ASHBY ST
Second Line	:
City	:	SEGUIN
State	:	TX
Zip	:	78155-5118
Country	:	US
Telephone Number	:	830-379-9757
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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