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NPI Code Detail

MEDICARE: DR. DAVID WALTERS DC

MEDICARE: DR. DAVID WALTERS DC
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
1111N00000XChiropractor5611TX
2111NR0400XRehabilitation Chiropractor5611TX

General Provider Information

NPI Number : 1629018643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WALTERS DC
Provider Business Mailing Address
First Line : 2500 ELECTRONIC LANE
Second Line :
City : DALLAS
State : TX
Zip : 75229
Country : US
Telephone Number : 972-768-1438
Fax Number :
Provider Business Practice Location Address
First Line : 2600 ELECTRONIC LN
Second Line :
City : DALLAS
State : TX
Zip : 75220-1216
Country : US
Telephone Number : 972-768-1438
Fax Number : 214-902-3475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/10/2010

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Directions to “ DR. DAVID WALTERS DC” Practice Location

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