Organization
PATRICK WALSH MD PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WALSH M.D. (PRESIDENT)
(817) 923-8220
Entity
Organization
Contact information
Practice address
1622 8TH AVE, 120, FORT WORTH, TX 76104-4155
(817) 923-8220
(817) 923-9004
Mailing address
1622 8TH AVE, 120, FORT WORTH, TX 76104-4155
(817) 923-8220
(817) 923-9004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H5814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153099001
—
TX
Enumeration date
03/08/2007
Last updated
06/25/2015
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