Provider Demographics
NPI:1699422279
Name:WALKER, CALANDRA R (DC)
Entity type:Individual
Prefix:DR
First Name:CALANDRA
Middle Name:R
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 FM 762 RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6436
Mailing Address - Country:US
Mailing Address - Phone:281-771-0659
Mailing Address - Fax:
Practice Address - Street 1:4130 FM 762 RD STE 300
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-6436
Practice Address - Country:US
Practice Address - Phone:281-771-0659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor