| Organization Name: | DR. EDWIN WALKER |
| NPI Number: | 1003239088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWIN WALKER (OWNER) |
| Mailing Address: | 8369 Florida Blvd Suite 1 Denham Springs |
| State: | LA US |
| Postal Code: | 707267862 |
| Phone Number: | 2256655149 |
| Fax Number: | 2256671770 |
| NPI Enumeration Date: | 01/28/2014 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |