Walter Walthall IV MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WALTER WALTHALL IV MD PLLC

Practice address

1919 Oakwell Farms Pkwy Ste 120
San Antonio, TX 78218-1778

Phone

(210) 982-6886

Fax

(800) 861-1681

NPI assigned

Dec 10, 2025

Last updated

Dec 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Walthall IV, MDNPI 1750460317

Title

Physician/Owner

Phone

(210) 982-6886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Walter Walthall, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1750460317
  Medicare reassignment NPD Authorized official
• Donald F Adams, M.D.

  • Specialist
  • San Antonio, TX
  • NPI 1417033564
  NPD (past)

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1780548107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181778",
            "telephone_number": "210-982-6886",
            "fax_number": "800-861-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181778",
            "telephone_number": "210-982-6886",
            "fax_number": "800-861-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER WALTHALL IV MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "WALTHALL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-982-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenevieve Walston
• Walter D. Thames, PLLC (Urgent Dental Clinics)
• Walter M. Bain MD PA (Otolaryngology Associates of South Texas)
• Kayla Rose Walter Rodriguez, MD
• Walter W. Root, M.D.P.a
• Victoria Ochuwa Walter-Etoh, NP
• Carol J Walter, LPC
• Colleen A Walter, PHD
• Elizabeth A Walter, M.D.
• Elizabeth S Walter, LCSW

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.