Healthcare Provider Details

I. General information

NPI: 1568719342
Provider Name (Legal Business Name): WALKER CHIROPRACTIC CLINIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E 15TH ST NONE
SWEETWATER TX
79556-2562
US

IV. Provider business mailing address

900 E 15TH ST NONE
SWEETWATER TX
79556-2562
US

V. Phone/Fax

Practice location:
  • Phone: 325-235-1165
  • Fax: 325-235-9656
Mailing address:
  • Phone: 325-235-1165
  • Fax: 325-235-9656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CURTIS LEE WALKER
Title or Position: CLINICAL DIRECTOR
Credential: D.C.
Phone: 325-235-1165