Individual
TROY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 CLOVER HILL LN, DESOTO, TX 75115-1509
(214) 708-5551
Mailing address
1217 CLOVER HILL LN, DESOTO, TX 75115-1509
(214) 708-5551
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
TX
Enumeration date
07/05/2018
Last updated
12/18/2019
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