Individual
WALTER KIM HOWARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2072
Mailing address
1 BAR CHASE TRL, LONGVIEW, TX 75605-7205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G5187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012079
TX KIDNEY HEALTH
TX
01
—
117834
CHIP PROGRAM
TX
01
—
752961826A004
CHAMPUS
TX
01
—
88R991
BLUE CROSS BLUE SHIELD TX
TX
01
—
MDG5187
WORKERS COMP
TX
01
—
P00048095
TRAVELERS MEDICARE
TX
Enumeration date
04/27/2006
Last updated
07/08/2007
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