Individual
DR. DESMAR WALKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 HIGHWAY 71 W STE 1150, BASTROP, TX 78602-0319
(512) 321-1098
(512) 303-0885
Mailing address
PO BOX K, BASTROP, TX 78602-1979
(512) 321-1098
(512) 303-0885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H2887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010063340
MEDICARE RAILROAD
TX
05
—
099560702
—
TX
01
—
397700000098481
NATIONAL PRACTIONER DATA BANK
—
01
—
H2887
PHYSICIAN'S LICENSE
TX
Enumeration date
06/06/2006
Last updated
07/03/2013
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