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General NPI Number Information
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NPI Number | 1023085032
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Entity Type | Individual
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Provider Name | JON W WALKER MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2202 US HIGHWAY 380 STE 112
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City | BRIDGEPORT
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State | TX
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Zip | 76426-2177
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Country | US
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Telephone | 940-683-2338
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Fax | 940-683-2394
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Provider Business Mailing Address
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Address Line | 1512 TEASLEY LN
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City | DENTON
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State | TX
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Zip | 76205-7282
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Country | US
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Telephone | 940-442-5209
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Fax | 940-222-2720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H2885
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License Number State | TX
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