Dr. Clint Richard Walters, MD
Radiology, Diagnostic Radiology in Dallas, TX. Individual provider (NPI-1).
NPI number1568802452
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1568802452
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clint Richard Walters
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2013
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | R5677 | TX | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 006585 | GA | |
| 2085N0700X | R5677 | TX |
Practice location
5323 Harry Hines BoulevardDallas, TX 75390-9257
Phone 214-645-2717
Mailing address
P.O. Box 845347Dallas, TX 75284-5347
Phone 706-721-3052
Other practice locations
4815 Alameda Ave
El Paso, TX 79905-2705
El Paso, TX 79905-2705
Phone 915-215-6000 · Fax 915-545-6607
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