Individual
DR. PAUL RAGAN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE E-3, AUSTIN, TX 78759-8661
(512) 342-7107
(512) 345-2102
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE E-3, AUSTIN, TX 78759-8661
(512) 342-7107
(512) 345-2102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T73Y
BLUECROSS BLUESHIELD
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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