MEDICARE: SHARON WALKER PH.D

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	103TC0700X	Clinical Psychologist	22165	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00947818	OTHER	TX	RR MCR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	88226A	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1730120296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON WALKER PH.D

Provider Business Mailing Address
First Line	:	112 HIWON DR
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-1125
Country	:	US
Telephone Number	:	936-228-0059
Fax Number	:	936-228-0521

Provider Business Practice Location Address
First Line	:	3701 KIRBY DR
Second Line	:	SUITE 1014
City	:	HOUSTON
State	:	TX
Zip	:	77098-3900
Country	:	US
Telephone Number	:	713-522-3488
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	08/29/2011

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