Individual
JONATHAN MARTIN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1708
Mailing address
PO BOX 120489, ATTN: CREDENTIALING DEPARTMENT, ARLINGTON, TX 76012-0489
(817) 375-5200
(817) 299-1708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T1251
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35.14792
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
T1251
TX
Other
Enumeration date
04/05/2018
Last updated
08/14/2024
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