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General NPI Number Information
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NPI Number | 1598983694
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Entity Type | Organization
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Legal Business Name | MICHAEL L WALKER MD PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 206 W WINDCREST ST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4408
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Country | US
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Telephone | 830-997-0252
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Fax |
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Provider Business Mailing Address
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Address Line | 206 W WINDCREST ST
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4408
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Country | US
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Telephone | 830-997-0252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL L WALKER
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Credential | M.D.
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Telephone | 830-997-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | F2090
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License Number State | TX
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