Provider Demographics
NPI:1144332396
Name:WALKER, ANDREW SCOTT (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SCOTT
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E ANDERSON ST STE B
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5871
Mailing Address - Country:US
Mailing Address - Phone:817-599-7022
Mailing Address - Fax:817-599-6559
Practice Address - Street 1:710 E ANDERSON ST STE B
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5871
Practice Address - Country:US
Practice Address - Phone:817-599-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7487208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1670773OtherCIGNA
TX150944001Medicaid
TX7138381OtherAETNA
TX00426FMedicare ID - Type Unspecified
TX7138381OtherAETNA