Individual
JERRY DON WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 BOLAND ST, FORT WORTH, TX 76107-1221
(817) 332-1234
(817) 332-1473
Mailing address
105 BOLAND ST, FORT WORTH, TX 76107-1221
(817) 332-1234
(817) 332-1473
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
2534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001062101
—
TX
Enumeration date
03/16/2006
Last updated
04/05/2010
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