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Contact Information

RANDY WALKER
INTREPID SPIRIT CLINIC 36029 58TH STREET
FORT CAVAZOS, TX76544
 Phone: 703-347-3190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for RANDY WALKER · (Male)

NPI # 1104409374
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2021
Last updated 02/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 149902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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