Individual
RYAN K WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E 29TH ST, SUITE 300, BRYAN, TX 77802-2531
(979) 776-0371
(979) 776-0495
Mailing address
PO BOX 844658, DALLAS, TX 75284-1924
(254) 215-9704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M3828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184367401
—
TX
Enumeration date
09/28/2006
Last updated
01/25/2022
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