Nikki A Walden Md Pa

NPI 1063673879 - Specialist - 174400000X

NPI Details
NPI 1063673879
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MIKE MIKE
Position OFFICE MANAGER
Phone (972) 820-9333
Fax
Practice Location
4325 N JOSEY LN
300
CARROLLTON TX, 75010-4635, US
Phone (972) 820-9333
Fax
Business Location
PO BOX 118383
CARROLLTON TX, 75011-8383, US
Phone (972) 820-9333
Fax
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number L8999
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According to our database, Nikki A Walden Md Pa NPI is 1063673879, taxonomy code is 174400000X and license number is L8999, license state is located at Texas. Nikki A Walden Md Pa physically located at 4325 N Josey Ln, Carrollton TX, 75010-4635. NPI Number 1033115704 has the healthcare provider type.

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1063673879 NPI number is provided on an as is basis without warranty of any kind. 1063673879 is maintained by the National Plan & Provider Enumeration System. The contents of Nikki A Walden Md Pa are for informational purposes only.