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NPI Code Detail

MEDICARE: DR. KAREN ALYSE WALTERS D.D.S.

MEDICARE:  DR. KAREN ALYSE WALTERS  D.D.S.
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
1122300000XDentist11905TX

General Provider Information

NPI Number : 1669815536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN ALYSE WALTERS D.D.S.
Provider Business Mailing Address
First Line : 8526 CAMBRIDGE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4003
Country : US
Telephone Number : 713-790-1111
Fax Number : 713-790-1117
Provider Business Practice Location Address
First Line : 8526 CAMBRIDGE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4003
Country : US
Telephone Number : 713-790-1111
Fax Number : 713-790-1117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 04/10/2013

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Directions to “ DR. KAREN ALYSE WALTERS D.D.S.” Practice Location

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