Provider Demographics
NPI:1689683989
Name:WALKER, WENDY MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:MICHELLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1657
Mailing Address - Country:US
Mailing Address - Phone:281-391-6655
Mailing Address - Fax:281-391-0633
Practice Address - Street 1:1850 AVENUE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1657
Practice Address - Country:US
Practice Address - Phone:281-391-6655
Practice Address - Fax:281-391-0633
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605731Medicare PIN
U67204Medicare UPIN