Provider Demographics
NPI:1568467231
Name:WALKER, ANNE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LOUISE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DUNN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4765
Mailing Address - Country:US
Mailing Address - Phone:985-876-2727
Mailing Address - Fax:985-851-7434
Practice Address - Street 1:8166 MAIN STREET
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-873-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0212912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1685054Medicaid
B89726Medicare UPIN
LA5W867Medicare PIN