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Individual

DR. MICHAEL CAPWELL WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109-3559
(817) 784-8268
(817) 346-6173
Mailing address
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109-3559
(817) 784-8268
(817) 346-6173

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F3657
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132237202
TX
05
132237207
TX
05
132237208
TX
05
132237209
TX
Enumeration date
06/02/2006
Last updated
11/04/2019
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