Basic Information
| Provider Information | |||||||||
| NPI: | 1366720617 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MICHAEL A. WALKER, D.O., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 HIGHWAY 37 S | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 754576597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9035374548 | ||||||||
| FaxNumber: | 9035372596 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 HIGHWAY 37 S | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 754576597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9035374548 | ||||||||
| FaxNumber: | 9035372596 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2011 | ||||||||
| LastUpdateDate: | 09/15/2011 | ||||||||
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| AuthorizedOfficialLastName: | WALKER | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | ALAN | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9035374548 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | K7410 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.