MEDICARE: DR. JARET DALE WALKER DPM

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	213E00000X	Podiatrist	1685	TX
2	213E00000X	Podiatrist	219	AR
3	213E00000X	Podiatrist	248	OK

General Provider Information

NPI Number	:	1194724039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARET DALE WALKER DPM

Provider Business Mailing Address
First Line	:	3205 MEDPARK DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-382-8400
Fax Number	:	800-345-5821

Provider Business Practice Location Address
First Line	:	3205 MEDPARK
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-382-8400
Fax Number	:	800-345-5821

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	04/06/2022

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