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Individual

DR. JOHN INGRAM WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1225 LEAKE ST, NAVASOTA, TX 77868
(936) 825-0314
(936) 825-6423
Mailing address
1225 LEAKE ST, NAVASOTA, TX 77868-3715
(936) 825-0314
(936) 825-6423

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D7356
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003EU
BCBS
TX
05
123242301
TX
Enumeration date
10/11/2006
Last updated
08/12/2011
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