Provider Demographics
NPI:1225239544
Name:DAVID GREGORY WALKER, M.D., P.A.
Entity Type:Organization
Organization Name:DAVID GREGORY WALKER, M.D., P.A.
Other - Org Name:WALKER FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-776-2200
Mailing Address - Street 1:PO BOX 11785
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4008
Mailing Address - Country:US
Mailing Address - Phone:713-776-2200
Mailing Address - Fax:713-776-2211
Practice Address - Street 1:8408 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4702
Practice Address - Country:US
Practice Address - Phone:713-776-2200
Practice Address - Fax:713-776-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3884207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096795204Medicaid
TX096795205Medicaid
TX0092QFOtherBLUE CROSS BLUE SHIELD
TX096795202Medicaid
TXTXB110819Medicare Oscar/Certification