Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | Q8806 | TX |
NPI | 1013278845 |
---|---|
Provider Name | Dr. Rorey Marie Walsh |
First Address | San Antonio, TX 78229-4404 |
Second Address | San Antonio, TX 78229-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 20/06/2016 |