Individual
DR. CLINT RICHARD WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-9257
(214) 645-2717
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(706) 721-3052
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
R5677
TX
2085R0202X
Diagnostic Radiology Physician
006585
GA
2085R0202X
Diagnostic Radiology Physician
Primary
R5677
TX
Other
Enumeration date
06/25/2013
Last updated
10/21/2022
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