Healthcare Provider Details

I. General information

NPI: 1023998788
Provider Name (Legal Business Name): ALICIA NAKIA ROSE WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 N CITY OAKS LN
HOUSTON TX
77047-2608
US

IV. Provider business mailing address

1622 N CITY OAKS LN
HOUSTON TX
77047-2608
US

V. Phone/Fax

Practice location:
  • Phone: 520-270-3065
  • Fax:
Mailing address:
  • Phone: 520-270-3065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number980889
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: