Individual
ANDRE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP
Contact information
Practice address
9101 N RODNEY PARHAM RD STE B, LITTLE ROCK, AR 72205-1685
(501) 389-8100
(888) 977-2956
Mailing address
9101 N RODNEY PARHAM RD STE B, LITTLE ROCK, AR 72205-1685
(501) 389-8100
(870) 534-5406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700036415
—
AR
Enumeration date
09/30/2008
Last updated
03/23/2022
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