MEDICARE: DR. JON-CECIL MARTIN WALKES 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	L0955	TX

General Provider Information

NPI Number	:	1669472288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON-CECIL MARTIN WALKES MD

Provider Business Mailing Address
First Line	:	25511 BUDDE RD STE 2502
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2388
Country	:	US
Telephone Number	:	281-888-0809
Fax Number	:	877-559-7682

Provider Business Practice Location Address
First Line	:	1900 NORTH LOOP W STE 180
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8151
Country	:	US
Telephone Number	:	281-888-0809
Fax Number	:	877-559-7682

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	12/10/2025

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