MEDICARE: MATTHEW SELMAN WALKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD.205276	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023336724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW SELMAN WALKER M.D.

Provider Business Mailing Address
First Line	:	5000 ODONAVAN BLVD
Second Line	:	STE 404
City	:	WALKER
State	:	LA
Zip	:	70785-6351
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-369-8140

Provider Business Practice Location Address
First Line	:	5000 ODONAVAN BLVD
Second Line	:	STE 404
City	:	WALKER
State	:	LA
Zip	:	70785-6351
Country	:	US
Telephone Number	:	225-765-5500
Fax Number	:	225-369-8140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	05/18/2021

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