Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY WALKER
ActiveRANDY WALKER is a Licensed Practical Nurse healthcare provider located in FORT CAVAZOS, Texas. NPI 1104409374 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FORT CAVAZOS, TX
Registration Details
- NPI Number
- 1104409374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2021 (5.3185610833303 yrs)
- Last Updated
- Feb 12, 2025
- License
-
149902 (TX)
Practice Information
- Address
-
INTREPID SPIRIT CLINIC 36029 58TH STREETFORT CAVAZOS, TX, 76544Browse TX providers · Browse ZIP 76544
- Phone
- 7033473190
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.