Provider Demographics
NPI:1154739688
Name:WALKER, PATRICK (LBSW)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 MCCUE RD
Mailing Address - Street 2:APT. 1522
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7134
Mailing Address - Country:US
Mailing Address - Phone:832-515-8307
Mailing Address - Fax:
Practice Address - Street 1:3323 MCCUE RD
Practice Address - Street 2:APT. 1522
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-7134
Practice Address - Country:US
Practice Address - Phone:832-515-8307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27864104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker