Individual
DR. DANIEL RICHARD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER BLVD, SUITE 212, CONROE, TX 77304-2888
(936) 756-1322
(936) 756-1302
Mailing address
101 VISION PARK BLVD., SUITE 100, SHENANDOAH, TX 77384
(936) 756-1322
(936) 273-5926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G0253
TX
207RI0200X
Infectious Disease Physician
Primary
G0253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FQ60
BLUE CROSS
TX
05
—
130523703
—
TX
01
—
4354722
AETNA
TX
Enumeration date
07/12/2006
Last updated
10/14/2015
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