Provider Demographics
NPI:1104066380
Name:WALKER SURGICAL SERVICES LLC
Entity type:Organization
Organization Name:WALKER SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DELINA
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:210-264-1728
Mailing Address - Street 1:PO BOX 1198
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-1198
Mailing Address - Country:US
Mailing Address - Phone:210-264-1728
Mailing Address - Fax:
Practice Address - Street 1:186 BIG OAK DR
Practice Address - Street 2:
Practice Address - City:ADKINS
Practice Address - State:TX
Practice Address - Zip Code:78101-2753
Practice Address - Country:US
Practice Address - Phone:210-264-1728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty