Walker, Mark Anthony
Walker, Mark Anthony is an individual health care provider with primary practice located at 4015 Interstate 45 N , Conroe TX 77304-4901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Walker, Mark Anthony can be contacted via phone (936) 522-4731.Contact Information
Primary practice address
4015 Interstate 45 N
Conroe TX 77304-4901
Phone: (936) 522-4731
Fax: (936) 522-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1177289 | Texas |
Profile Details
| NPI number | 1063600591 |
|---|---|
| LBN Legal business name | Walker, Mark Anthony |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Mar 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063600591 | NPPES |
| Texas | Other | 00J21A | MEDICARE GROUP |
| Texas | MEDICAID | 1912875-01 | MEDICARE GROUP |
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