MEDICARE: EBONY 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
1	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1356291900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBONY WALKER

Provider Business Mailing Address
First Line	:	1819 ATHENA DR
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75134-4171
Country	:	US
Telephone Number	:	214-586-8589
Fax Number	:	214-586-8589

Provider Business Practice Location Address
First Line	:	1819 ATHENA DR
Second Line	:
City	:	LANCASTER
State	:	TX
Zip	:	75134-4171
Country	:	US
Telephone Number	:	214-586-8589
Fax Number	:	214-586-8589

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ EBONY WALKER ” Practice Location

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