SearchTexas2255A2300X

Cody Walls, ATC, LAT, EMT

NPI 1821341447 · on the registry since 2012 · sole proprietor

Practice

Address
4001 Summerhill Rd
Texarkana, TX 75503
Phone
(903) 794-3891
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
146N00000X
146N00000X
174H00000X
Licence states on file
TX, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas