MEDICARE: JOHN D WALKER MD, FAWM, FNAP

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	207P00000X	Emergency Medicine Physician	G5832	TX

General Provider Information

NPI Number	:	1477705762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D WALKER MD, FAWM, FNAP

Provider Business Mailing Address
First Line	:	1700 STAMFORD LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-2938
Country	:	US
Telephone Number	:	512-801-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 STAMFORD LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-2938
Country	:	US
Telephone Number	:	512-801-4000
Fax Number	:

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

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	10/11/2021

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