Individual
COURTNEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
3025 N TARRANT PKWY STE 150, FORT WORTH, TX 76177-8633
(817) 416-2229
(817) 416-3667
Mailing address
3025 N TARRANT PKWY STE 150, FORT WORTH, TX 76177-8633
(817) 416-2229
(817) 416-3667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7417349
AETNA
TX
01
—
8G5671
BCBS
TX
Enumeration date
11/29/2005
Last updated
08/23/2021
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