Individual
DOUGLAS W WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA07847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195930
L&I AND CRIME VICTIMS
WA
05
—
1457315582
—
WA
01
—
5889WA
REGENCE
WA
01
—
7808815
AETNA
WA
01
—
G8969406
WVH PTANS
WA
01
—
G8969407
WVH PTAN
WA
01
—
P00320672
RAILROAD MEDICARE
WA
Enumeration date
04/14/2006
Last updated
11/06/2023
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