Jennifer Walt, MD | |
1315 E 6th St Ste 10, Weslaco, TX 78596-6658 | |
(956) 296-2821 | |
(956) 296-2820 |
Full Name | Jennifer Walt |
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Gender | Female |
Speciality | Orthopaedic Surgery - Foot And Ankle Surgery |
Location | 1315 E 6th St Ste 10, Weslaco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821450222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | R-12042 (Iowa) | Secondary |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | T8380 (Texas) | Primary |
Entity Name | University Of Texas Rio Grande Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477960730 PECOS PAC ID: 3577885276 Enrollment ID: O20141209000376 |
Mailing Address | Practice Location Address |
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Jennifer Walt, MD Po Box 531968, Harlingen, TX 78553-1968 Ph: (956) 650-0332 | Jennifer Walt, MD 1315 E 6th St Ste 10, Weslaco, TX 78596-6658 Ph: (956) 296-2821 |
Mr. Subram Gopal Krishnan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1331 E 6th St, Weslaco, TX 78596 Phone: 956-968-9502 Fax: 956-968-7269 | |
Savvas C. Poulos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 E 8th St, Weslaco, TX 78596 Phone: 956-969-5237 Fax: 956-968-6290 | |
Dr. Michael David Sander, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 E 6th St, Ste. 10, Weslaco, TX 78596 Phone: 956-447-9797 Fax: 956-447-9696 |