Individual
JULIUS TATE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
703 S FLEISHEL AVE STE 5000, TYLER, TX 75701-2015
(903) 606-2992
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 725-7900
(682) 207-1030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
800129
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP133936
TX
363LA2200X
Adult Health Nurse Practitioner
AP133936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F0394
CTC-MEDICARE
TX
01
—
8MY809
BCBS
—
01
—
P02531934
MEDICARE RAIL ROAD
TX
Enumeration date
02/21/2017
Last updated
04/03/2025
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