Individual
DR. JAY R WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
628 N ED CAREY DR, HARLINGEN, TX 78550-7912
(956) 423-1121
(956) 423-1202
Mailing address
628 N ED CAREY DR, HARLINGEN, TX 78550-7912
(956) 423-1121
(956) 423-1202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G2301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128587602
—
TX
Enumeration date
07/28/2005
Last updated
08/04/2010
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