Mrs. Susan Raedene Gauntt Walker
MD | Pediatrics | Female
Mrs. Susan Raedene Gauntt Walker, MD is a Weatherford, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Susan Raedene Gauntt Walker is
712 E Anderson St, A, Weatherford, Texas - 76086-5873. She can be contacted on phone at
817-596-7717 and fax number 817-596-7119.
Mrs. Susan Raedene Gauntt Walker is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Susan Raedene Gauntt Walker is
1609970896 which was assigned by NPPES on 11 Sep, 2006 and it was last updated on 10 Feb, 2022.
Mrs. Susan Raedene Gauntt Walker license number is
H5445 for Pediatrics (208000000X) in Texas.
Mrs. Susan Raedene Gauntt Walker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Susan Raedene Gauntt Walker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mrs. Susan Raedene Gauntt Walker |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mrs. Susan Raedene Gauntt Walker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 712 E Anderson St, A
Weatherford, TX, 76086-5873
United States |
|---|
| Phone Number : | 817-596-7717 |
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| Fax Number : | 817-596-7119 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609970896 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Sep, 2006 |
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| Last Updated On : | 10 Feb, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Susan Raedene Gauntt Walker are as mentioned. Primary taxonomy code for Mrs. Susan Raedene Gauntt Walker, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | H5445 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Susan Raedene Gauntt Walker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10029712 | Other | TX | AMERIGROUP |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | SUSAN.WALKER@hca7.eclinicaldirectplus.com
| No affiliation |
|
| 712 E ANDERSON ST, A
WEATHERFORD, TX, 76086-5873
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 712 E Anderson St, A
Weatherford, TX, 76086-5873
United States |
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| Phone Number : | 817-596-7717 |
|---|
| Fax Number : | 817-596-7119 |
|---|
Business Location:
Patients can refer following map for directions to
Mrs. Susan Raedene Gauntt Walker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.