Provider Demographics
NPI:1477705762
Name:WALKER, JOHN D (MD, FAWM, FNAP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD, FAWM, FNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 STAMFORD LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-2938
Mailing Address - Country:US
Mailing Address - Phone:512-801-4000
Mailing Address - Fax:
Practice Address - Street 1:1700 STAMFORD LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-2938
Practice Address - Country:US
Practice Address - Phone:512-801-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5832207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine