Walter, Paul David
Walter, Paul David is an individual health care provider with primary practice located at 3514 21St St , Lubbock TX 79410-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Walter, Paul David can be contacted via phone (806) 725-1801.Contact Information
Primary practice address
3514 21St St
Lubbock TX 79410-1210
Phone: (806) 725-1801
Fax: (806) 723-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | F5088 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 85117 | New Mexico |
Profile Details
| NPI number | 1629031307 |
|---|---|
| LBN Legal business name | Walter, Paul David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 20th, 2009 - about 16 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 | 1629031307 | NPPES |
| Texas | MEDICAID | 105356303 |
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