Provider Demographics
NPI:1497733034
Name:WALKER, CURTIS LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LEE
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:TX
Mailing Address - Zip Code:79556-2562
Mailing Address - Country:US
Mailing Address - Phone:325-235-1165
Mailing Address - Fax:325-235-9656
Practice Address - Street 1:900 E 15TH ST
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TX
Practice Address - Zip Code:79556-2562
Practice Address - Country:US
Practice Address - Phone:325-235-1165
Practice Address - Fax:325-235-9656
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT84781Medicare UPIN
TX605223Medicare ID - Type Unspecified