Individual
DR. ANDREW MOORE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11714 WILSON PARKE AVE STE 150, AUSTIN, TX 78726-4061
(512) 346-6611
(512) 406-6267
Mailing address
6210 E HWY 290 STE 420, AUSTIN, TX 78723-1142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386948901
—
TX
05
—
386948902
—
TX
Enumeration date
03/27/2012
Last updated
04/25/2024
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