Provider Demographics
NPI:1467699835
Name:FILMORE, WALTER III
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:
Last Name:FILMORE
Suffix:III
Gender:M
Credentials:
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 152085
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-8085
Mailing Address - Country:US
Mailing Address - Phone:817-691-8650
Mailing Address - Fax:
Practice Address - Street 1:1404 SUMMER BROOK CIR APT 228
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4547
Practice Address - Country:US
Practice Address - Phone:817-691-8650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging