Organization Active NPI

G. Gary Walker, PH.D., P.C.

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1033234976
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
G. GARY WALKER, PH.D., P.C.
Practice address
5120 29TH Dr
Lubbock, TX 79407-2612
Phone
(806) 798-8855
NPI assigned
Mar 20, 2007
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Gary Walker, PH.D.
Title
President of the Corporation
Phone
(806) 798-8855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Clinical Psychologist 103TC0700X

Addresses

Primary practice location

5120 29TH Dr
Lubbock, TX 79407-2612

Mailing address

5203 28TH St
Lubbock, TX 79407-3507
Phone (806) 798-8855

Other identifiers 1

IdentifierTypeStateIssuer
192465602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000640 TX Part B Supplier - Clinic/Group Practice 9830273002 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

5120 29th Dr
Lubbock, TX 79407
Phone (806) 798-8855

5120 29th Dr
Ste C
Lubbock, TX 79407
Phone (806) 771-5357

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1033234976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 28TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073507",
            "telephone_number": "806-798-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 29TH DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072612",
            "telephone_number": "806-798-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. GARY WALKER, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT OF THE CORPORATION",
        "authorized_official_telephone_number": "806-798-8855",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192465602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.