| Calvin Walker Md, Llc | |
|
3418 Medical Park Dr Suite 24 Monroe LA 71203-2376 | |
| (318) 323-0700 | |
| (318) 323-9983 |
| Full Name | Calvin Walker Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3418 Medical Park Dr, Monroe, Louisiana |
| Authorized Official Name and Position | Calvin Cecil Walker (MEMBER OF LLC) |
| Authorized Official Contact | 3183230700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Walker Md, Llc 3418 Medical Park Dr Suite 24 Monroe LA 71203-2376 Ph: (318) 323-0700 | Calvin Walker Md, Llc 3418 Medical Park Dr Suite 24 Monroe LA 71203-2376 Ph: (318) 323-0700 |
| NPI Number | 1164700944 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 07/28/2011 |
| Medicare PECOS PAC ID | 1254500929 |
|---|---|
| Medicare Enrollment ID | O20110815000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164700944 | NPI | - | NPPES |
| 52284 | Other | LA | MEDICARE PROVIDER NUMBER |
| 1363341 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 07177R (Louisiana) | Primary |
| Provider Name | Calvin C Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710941737 PECOS PAC ID: 3476524166 Enrollment ID: I20040805000071 |
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