Provider Demographics
NPI:1649736794
Name:WALKER, MEGAN R (LVN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:WALKER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 STATE HIGHWAY 184
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948-5031
Mailing Address - Country:US
Mailing Address - Phone:936-201-4824
Mailing Address - Fax:
Practice Address - Street 1:2241 STATE HIGHWAY 184
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-5031
Practice Address - Country:US
Practice Address - Phone:936-201-4824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347525164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse