Organization
SALLY WALTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY JO WALTER LSA (SURGICAL ASSISTANT)
(512) 470-4023
Entity
Organization
Contact information
Practice address
4729 TELLO PATH, AUSTIN, TX 78749-1135
(512) 470-4023
(512) 291-0368
Mailing address
4729 TELLO PATH, AUSTIN, TX 78749-1135
(512) 470-4023
(512) 291-0368
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA00311
TX
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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