MEDICARE: DR. WILLIAM A. WALKER III D.D.S.

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	1223E0200X	Endodontics	17380	TX

General Provider Information

NPI Number	:	1891734356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM A. WALKER III D.D.S.

Provider Business Mailing Address
First Line	:	15519 CLOUD TOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1348
Country	:	US
Telephone Number	:	210-493-8933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S DAIRY ASHFORD ST
Second Line	:	SUITE 114
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:	281-558-3440
Fax Number	:

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/08/2007

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