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Individual

MR. CLIFFORD DAVID WALKER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4001 E 29TH ST, STE 108, BRYAN, TX 77802
(979) 846-2969
(979) 846-2965
Mailing address
4001 E 29TH ST, STE 108, BRYAN, TX 77802
(979) 846-2969
(979) 846-2965

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6499
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
605187
BCBS
TX
01
6499
CHIROPRACTIC LICENSE
TX
Enumeration date
09/01/2006
Last updated
11/22/2011
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