Provider Demographics
NPI:1033114541
Name:WALKER, JAMES ROBERT (DDS; MSD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:WALKER
Suffix:
Gender:M
Credentials:DDS; MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 LOY LAKE RD.
Mailing Address - Street 2:SUITE F
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2808
Mailing Address - Country:US
Mailing Address - Phone:903-892-2246
Mailing Address - Fax:903-891-9339
Practice Address - Street 1:2113 LOY LAKE RD
Practice Address - Street 2:STE F
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2808
Practice Address - Country:US
Practice Address - Phone:903-892-2246
Practice Address - Fax:903-891-9339
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry