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NPI Code Detail

MEDICARE: JON WALKER

MEDICARE:   JON  WALKER
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
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1336424159
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON WALKER
Provider Business Mailing Address
First Line : 8416 OLD MCGREGOR RD
Second Line :
City : WACO
State : TX
Zip : 76712-6499
Country : US
Telephone Number : 254-537-4422
Fax Number :
Provider Business Practice Location Address
First Line : 3000 TOWN EAST MALL
Second Line :
City : MESQUITE
State : TX
Zip : 75150-4120
Country : US
Telephone Number : 972-270-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2011
Last Update Date : 10/12/2011

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Directions to “ JON WALKER ” Practice Location

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