Individual
MARY GAINES WALKER IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2364
Mailing address
PO BOX 844658, DALLAS, TX 75284
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
R2131
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10050813
TX
Other
Enumeration date
05/19/2014
Last updated
06/12/2017
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