Marvin Matthew Walker Jr., LSA
Physician Assistant, Surgical in Rowlett, TX. Individual provider (NPI-1).
NPI number1609260348
StatusActive
Last updated in NPPESApr 24, 2019
Details
- NPI
- 1609260348
- Entity type
- Individual (NPI-1)
- Name
- Marvin Matthew Walker Jr.
- Credential
- LSA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2015
- Last updated
- Apr 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
1901 Miller RdRowlett, TX 75088-5604
Phone 214-227-2457 · Fax 214-746-0880
Mailing address
Po Box 938Rowlett, TX 75030-0938
Phone 214-227-2457 · Fax 214-764-0880
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