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Individual

MRS. AMY E WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2525 WALLINGWOOD DR STE 7D, AUSTIN, TX 78746-6900
(125) 940-6634
Mailing address
2525 WALLINGWOOD DR STE 7D, AUSTIN, TX 78746-6900
(512) 940-6634

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M6452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186658401
TX
Enumeration date
07/28/2006
Last updated
06/24/2021
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