Individual
DR. JOHN PATRICK WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RENAISSANCE WAY SUITE 100, SUITE 100, CROCKETT, TX 75835-1814
(936) 544-7757
Mailing address
PO BOX 481, CROCKETT, TX 75835-0481
(936) 544-7757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G0254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QK51
MEDICARE ID - TYPE UNSPECIFIED
TX
05
—
035486201
—
TX
Enumeration date
08/31/2006
Last updated
01/20/2017
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