Provider Demographics
NPI:1376653055
Name:WALKER, MILAGROS E (MA CCC-A)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:E
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 BEE CAVE RD
Mailing Address - Street 2:STE A102
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6465
Mailing Address - Country:US
Mailing Address - Phone:512-327-3004
Mailing Address - Fax:512-327-4651
Practice Address - Street 1:4201 BEE CAVE RD
Practice Address - Street 2:STE A102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6465
Practice Address - Country:US
Practice Address - Phone:512-327-3004
Practice Address - Fax:512-327-4651
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51144231H00000X
TX90709237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX528218OtherBCBS
TX04508OtherNECP NUMBER