Individual
HEATHER GAYLE SUTTON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2665 SCRIPTURE STREET, DENTON, TX 76201-3708
(940) 535-5767
(940) 898-0147
Mailing address
2665 SCRIPTURE STREET, DENTON, TX 76201
(940) 535-5767
(940) 898-0147
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L9539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183046503
—
TX
01
—
183046504
MEDICAID OTHER
TX
01
—
L9539
STATE MEDICAL LICENSE
TX
01
—
P00470018
RAILROAD MEDICARE
TX
Enumeration date
07/19/2006
Last updated
07/05/2013
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