Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1259 | TX |
NPI | 1356534747 |
---|---|
Provider Name | Robb Stuart Walker |
First Address | Abilene, TX 79605-4603 |
Second Address | Abilene, TX 79605-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |