MEDICARE: ANDREW SCOTT WALKER

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	174400000X	Specialist	K7487	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020054275	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7138381	OTHER	TX	AETNA
4	1670773	OTHER	TX	CIGNA
5	8AJ222	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1972668564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW SCOTT WALKER

Provider Business Mailing Address
First Line	:	937 HILLTOP DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5845
Country	:	US
Telephone Number	:	817-599-7022
Fax Number	:	817-599-6559

Provider Business Practice Location Address
First Line	:	937 HILLTOP DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5845
Country	:	US
Telephone Number	:	817-599-7022
Fax Number	:	817-599-6559

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW SCOTT WALKER
Credential	:	M.D.
Telephone Number	:	817-599-7022

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	10/17/2012

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Directions to “ANDREW SCOTT WALKER ” Practice Location

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