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NPI Code Detail

MEDICARE: JERRY DON WALKER D.C.

MEDICARE:   JERRY DON WALKER  D.C.
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
1111NR0200XRadiology Chiropractor2534TX

Other Identifiers

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

General Provider Information

NPI Number : 1861461485
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY DON WALKER D.C.
Provider Business Mailing Address
First Line : 105 BOLAND ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-1221
Country : US
Telephone Number : 817-332-1234
Fax Number : 817-332-1473
Provider Business Practice Location Address
First Line : 105 BOLAND ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-1221
Country : US
Telephone Number : 817-332-1234
Fax Number : 817-332-1473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 04/05/2010

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Directions to “ JERRY DON WALKER D.C.” Practice Location

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