Provider Demographics
NPI:1275534240
Name:WALKER, A D JR (MD APMC)
Entity Type:Individual
Prefix:DR
First Name:A
Middle Name:D
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:MD APMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3655
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-3655
Mailing Address - Country:US
Mailing Address - Phone:985-868-7566
Mailing Address - Fax:985-851-4778
Practice Address - Street 1:869 VERRET ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4635
Practice Address - Country:US
Practice Address - Phone:985-868-7566
Practice Address - Fax:985-851-4778
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LABW3743324207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA200016290Medicare PIN
LAB60610Medicare UPIN
LA5J8007349Medicare PIN