Provider Demographics
NPI:1871329979
Name:WALKER, ZANDRA B (CMA)
Entity type:Individual
Prefix:
First Name:ZANDRA
Middle Name:B
Last Name:WALKER
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 CABLE AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-5408
Mailing Address - Country:US
Mailing Address - Phone:409-201-0141
Mailing Address - Fax:
Practice Address - Street 1:2180 CABLE AVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-5408
Practice Address - Country:US
Practice Address - Phone:409-201-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker