Organization Active NPI

Beverly Thir Walker, MD, PA

  • Family Medicine Physician
  • Baytown, TX
National Provider Identifier
1285822338
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6793 Issued in TX
Legal business name
BEVERLY THIR WALKER, MD, PA
Practice address
4301 Garth Rd
Suite 309
Baytown, TX 77521-3153
Phone
(281) 420-3565
Fax
(281) 427-7808
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Beverly T Walker, MD
Title
Owner/Physician
Phone
(281) 420-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J6793 TX Primary

Addresses

Primary practice location

4301 Garth Rd
Suite 309
Baytown, TX 77521-3153

Mailing address

4301 Garth Rd
Suite 309
Baytown, TX 77521-3153
Phone (281) 420-3565

National Provider Directory

National Provider Directory

Locations

4301 Garth Rd
Ste 309
Baytown, TX 77521
Phone (281) 420-3565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1285822338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 309",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213153",
            "telephone_number": "281-420-3565",
            "fax_number": "281-427-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 309",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213153",
            "telephone_number": "281-420-3565",
            "fax_number": "281-427-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY THIR WALKER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-420-3565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.