Individual
FREDERICK WAYNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4631 GASTON ST, HOUSTON, TX 77093-1513
(281) 686-6618
Mailing address
3127 HOPETON DR, SPRING, TX 77386-3297
(128) 168-6661
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
ABCDE
TX
Enumeration date
02/23/2022
Last updated
02/23/2022
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