Individual
PAUL DAVID WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3514 21ST ST, LUBBOCK, TX 79410-1210
(806) 725-1801
(806) 723-7530
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
85117
NM
207RC0000X
Cardiovascular Disease Physician
Primary
F5088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105356303
—
TX
Enumeration date
04/11/2006
Last updated
07/20/2009
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