MEDICARE: JARET WALKER, DPM PA

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1689872046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JARET WALKER, DPM PA

Provider Business Mailing Address
First Line	:	3205 MEDPARK
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-382-8400
Fax Number	:	940-382-8422

Provider Business Practice Location Address
First Line	:	3205 MEDPARK
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-6932
Country	:	US
Telephone Number	:	940-382-8400
Fax Number	:	940-382-8422

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JARET DALE WALKER
Credential	:	DPM
Telephone Number	:	940-382-8400

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	07/22/2009

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