Individual
JENNIFER WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 E 6TH ST STE 10, WESLACO, TX 78596-6658
(956) 296-2821
(956) 296-2820
Mailing address
PO BOX 531968, HARLINGEN, TX 78553-1968
(956) 650-0332
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
R-12042
IA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
T8380
TX
Other
Enumeration date
03/24/2016
Last updated
12/12/2024
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