Provider Demographics
NPI:1316985898
Name:WALKER, DURWIN D (MD)
Entity type:Individual
Prefix:DR
First Name:DURWIN
Middle Name:D
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 1:31995 LA HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1456
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:225-271-8628
Practice Address - Street 1:31995 LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-1456
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-271-8628
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06427R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1340499Medicaid
LA5L713Medicare ID - Type Unspecified
LA1340499Medicaid