MEDICARE: WALTER MURRAY ALLISON III M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	D6227	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1790775880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER MURRAY ALLISON III M.D.

Provider Business Mailing Address
First Line	:	1400 WALLACE BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1708
Country	:	US
Telephone Number	:	806-414-9100
Fax Number	:	806-354-5717

Provider Business Practice Location Address
First Line	:	1400 S COULTER ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1786
Country	:	US
Telephone Number	:	806-414-9100
Fax Number	:	806-354-5717

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	10/06/2014

1400 S COULTER ST STE 2400
AMARILLO, TX
79106-1786

Practice Phone: 806-414-9100
Practice Fax: