Individual
MICHELLE WALTERS
Active
Individual
MICHELLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-14832
AR
2085R0202X
Diagnostic Radiology Physician
J0332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123154004
—
TX
05
—
172461901
—
TX
Enumeration date
11/28/2005
Last updated
08/19/2024
Update your record
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