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Jennifer Buchanan Walsh

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER WALSH.

Based on the most recent information from CMS, provider Jennifer Buchanan Walsh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205057205
Provider Type
Individual
Full Name
Walsh, Jennifer Buchanan
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/1/2007
Last Updated
7/21/2022

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-7000

Unlisted Fax

Mailing Location

5323 Harry Hines Blvd Mail Code 9063, Dallas, TX 75390-0001

(214) 456-7000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License M7740 Texas

Jennifer Buchanan Walsh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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