Individual
DR. RONALD S WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-2991
(713) 745-1782
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 745-9766
(713) 745-1782
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G0855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420201
—
TX
01
—
110061938
RR MEDICARE
TX
01
—
800361
BCBS
TX
Enumeration date
04/04/2006
Last updated
07/09/2012
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