Individual
DR. SHAYNA TANISE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3171 S 129TH EAST AVE STE A, TULSA, OK 74134-3215
(619) 578-9225
Mailing address
22325 GOSLING RD, SPRING, TX 77389-4409
(281) 724-7980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011-01965
NC
207Q00000X
Family Medicine Physician
Primary
44058
OK
207Q00000X
Family Medicine Physician
A107393
CA
2084P0800X
Psychiatry Physician
2011-01965
NC
2084P0800X
Psychiatry Physician
A107393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172W0
BLUE CROSS BLUE SHILED OF NC
NC
01
—
252985
MEDCOST, LLC
NC
05
—
5920366
—
NC
05
—
5920813
—
NC
01
—
NC7241A
MEDICARE
NC
Enumeration date
06/22/2007
Last updated
01/07/2026
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