MEDICARE: WALKER HEALTH CARE SYSTEMS, INC.

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

General Provider Information

NPI Number	:	1689208464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER HEALTH CARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	363 N SAM HOUSTON PKWY E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-2404
Country	:	US
Telephone Number	:	607-437-7902
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 N SAM HOUSTON PKWY E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-2404
Country	:	US
Telephone Number	:	607-437-7902
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	MRS. DARLEEN CALLAHAN
Credential	:
Telephone Number	:	607-437-7902

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/02/2020

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