MEDICARE: GEORGE STORM WALMSLEY MD

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	H1329	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P01557072	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8FT463	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8AJ093	OTHER	TX	BLUECROSS BLUESHIELD
4	8DV163	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1598795916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE STORM WALMSLEY MD

Provider Business Mailing Address
First Line	:	8608 N HIGHWAY 146
Second Line	:	SUITE 600
City	:	BAYTOWN
State	:	TX
Zip	:	77523-7505
Country	:	US
Telephone Number	:	832-556-6936
Fax Number	:	832-573-9218

Provider Business Practice Location Address
First Line	:	8608 N HIGHWAY 146
Second Line	:	SUITE 600
City	:	BAYTOWN
State	:	TX
Zip	:	77523-7505
Country	:	US
Telephone Number	:	832-556-6936
Fax Number	:	832-573-9218

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/26/2016

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Directions to “ GEORGE STORM WALMSLEY MD” Practice Location

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