Patrick Walsh MD Professional Association

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H5814 Issued in TX

Legal business name

PATRICK WALSH MD PROFESSIONAL ASSOCIATION

Practice address

1622 8TH Ave
120
Fort Worth, TX 76104-4155

Phone

(817) 923-8220

Fax

(817) 923-9004

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Walsh, M.D.

Title

President

Phone

(817) 923-8220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1043341480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 8TH AVE",
            "address_2": "120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044155",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 8TH AVE",
            "address_2": "120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044155",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WALSH MD PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-923-8220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H5814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153099001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Roberts Harris DO PLLC
• Lum Nde Patricia
• Patrick Chen, M.D.,P.a.
• Patrick Donovan MD PA
• Patrick Keehan DO PA
• Bethany Patrick
• Courtney Marie Patrick, MA, CRC, LPC
• Paul Lyndon Patrick, D.O.
• Rahmeka Patrick, LPC
• Patriot Chiropractic and Sport Performance

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.