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NPI 1063390235

NPI 1063390235 : WALKER CHIRO AND WELLNESS CLINIC LLC : KILLEEN, TX

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General NPI Number Information
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    NPI Number           |    1063390235
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    Entity Type          |    Organization 
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    Legal Business Name  |    WALKER CHIRO AND WELLNESS CLINIC LLC 
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Dates
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    Enumeration Date     |    08/25/2025
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    100 W CENTRAL TEXAS EXPY STE 310 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76548-7498
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    Country              |    US
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    Telephone            |    334-707-2053
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    Fax                  |    254-237-9192
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Provider Business Mailing Address
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    Address Line         |    2902 STEWART DR 
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    City                 |    WACO
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    State                |    TX
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    Zip                  |    76708-1184
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    Country              |    US
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    Telephone            |    334-707-2053
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHARLES E WALKER JR.
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    Credential           |    DC
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    Telephone            |    254-237-9192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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