Look up the most recent NPI and PECOS records

Thomas Lawrence Walker

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS WALKER.

Based on the most recent information from CMS, provider Thomas Lawrence Walker is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1376599720
Provider Type
Individual
Full Name
Walker, Thomas Lawrence
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/26/2006
Last Updated
10/2/2008

Contact Information

Practice Location

1400 8th Ave, Fort Worth, TX 76104-4110

(817) 922-6226

(817) 922-7071

Mailing Location

4100 Harlanwood Dr, Fort Worth, TX 76109-2035

(817) 924-0412

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License H2886 Texas
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License H2886 Texas

Provider Identifiers

ID	Description	Issuer
ID 139900822	Description Medicaid	Issuer Unlisted Texas

Thomas Lawrence Walker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bond, Mary Claire

Carter, Elizabeth Wagner

Hoang, Anh Thi

Weier, Douglas Lyle

Pate, William Bart

Zeiser, Michael Jonathan

Winn, James Russell

Garcia, Jose Luis

Galvez, Adeline

Brantly, Kent Philip