# DR. EDWIN WALKER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Edwin Walker Medical Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003239088
- **Authorized official:** COLLEEN HEBERT BUSBY BIBLE LPN, CA (ADMINISTRATOR)
- **Authorized official phone:** (225) 665-5149

## Contact information

- **Practice address:** 8369 FLORIDA BLVD, SUITE 1, DENHAM SPRINGS, LA 70726-7862
- **Practice address phone:** (225) 665-5149
- **Practice address fax:** (225) 667-1770
- **Mailing address:** 8369 FLORIDA BLVD, SUITE 8, DENHAM SPRINGS, LA 70726-7862
- **Mailing address phone:** (225) 665-5149
- **Mailing address fax:** (225) 667-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | LA | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2373978 | — | LA |