Organization
DESMAR WALKES MD PA
Active
Other names
A PLUS LIFESTYLE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESMAR WALKES M.D. (PRESIDENT / CEO)
(512) 321-1098
Entity
Organization
Contact information
Practice address
815 HIGHWAY 71 W STE 1150, BASTROP, TX 78602-0319
(512) 321-1098
(512) 303-0885
Mailing address
PO BOX K, BASTROP, TX 78602-1979
(512) 321-1098
(512) 303-0885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2887
TX
207QS1201X
Sleep Medicine (Family Medicine) Physician
H2887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2865529-01
—
TX
01
—
492786
JOINT COMMISSION
—
01
—
DR8887
MEDICARE RAILROAD
TX
Enumeration date
04/22/2009
Last updated
06/25/2013
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