Individual
THOMAS WALTER WALKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
N6761
TX
2085R0202X
Diagnostic Radiology Physician
Primary
N6761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145J0
BCBS
—
Enumeration date
01/11/2007
Last updated
02/29/2016
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