Individual
DR. WALTER LINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M2380
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
ME149215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761744-01
—
TX
01
—
1761744-02
CSHCN
TX
01
—
8S1907
BLUE SHIELD
TX
01
—
P00269417
RR/MEDICARE
TX
Enumeration date
03/29/2006
Last updated
01/17/2023
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