Provider Demographics
NPI:1811323108
Name:WALKER, TORI BURNS (PA-C)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:BURNS
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5324
Mailing Address - Country:US
Mailing Address - Phone:318-422-1704
Mailing Address - Fax:
Practice Address - Street 1:9301 N CENTRAL EXPY STE 470
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0803
Practice Address - Country:US
Practice Address - Phone:214-506-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200648363A00000X
TXPA10328363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant