Sally Walter, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA00311 Issued in TX

Legal business name

SALLY WALTER, LLC

Practice address

4729 Tello Path
Austin, TX 78749-1135

Phone

(512) 470-4023

Fax

(512) 291-0368

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Sally Jo Walter, LSA

Title

Surgical Assistant

Phone

(512) 470-4023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1407094022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 TELLO PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491135",
            "telephone_number": "512-470-4023",
            "fax_number": "512-291-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 TELLO PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491135",
            "telephone_number": "512-470-4023",
            "fax_number": "512-291-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY WALTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "512-470-4023",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abibat Saliu, MD
• America Salkeld
• Sharareh Salkhordeh, O.D.
• Allison L. Sallee, PH.D., LMFT
• Sally Lineback, PHD, PLLC
• Sallybyrom PLLC
• Jenan M Salman, PHARM.D
• Maximilian Anders Salmeron
• Virginia Bernice Salmeron
• Shelby Sara Salmi

• Surgical Technologist in Austin, TX
• Providers in Austin, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.