Organization
ANDREW SCOTT WALKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW SCOTT WALKER M.D. (OWNER)
(817) 599-7022
Entity
Organization
Contact information
Practice address
937 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 599-7022
(817) 599-6559
Mailing address
937 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 599-7022
(817) 599-6559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K7487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054275
MEDICARE RAILROAD
TX
05
—
1509990-01
—
TX
01
—
1670773
CIGNA
TX
01
—
7138381
AETNA
TX
01
—
8AJ222
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/26/2006
Last updated
10/17/2012
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