Individual
PAUL-DOUGLAS WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 RAINTEE CIRCLE, SUITE 130, ALLEN, TX 75013
(469) 363-8552
Mailing address
1101 RAINTEE CIRCLE, SUITE 130, ALLEN, TX 75013
(469) 363-8552
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1163539
TX
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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