Randy Walker
Licensed Practical Nurse · Fort Cavazos, TX
Practice location
Intrepid Spirit Clinic 36029 58TH StreetFort Cavazos, TX 76544
- Phone
- (703) 347-3190
NPI record
- NPI
- 1104409374
- Entity type
- Individual (Type 1)
- Enumeration date
- May 4, 2021
- Last updated
- February 12, 2025
- Certified
- February 7, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
149902 | TX |
Mailing address
36065 Santa Fe AveFort Cavazos, TX 76544-5060
About Randy Walker
Randy Walker is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is Intrepid Spirit Clinic 36029 58TH Street, Fort Cavazos, TX 76544. The NPI number 1104409374 was assigned on May 4, 2021 and the record was last updated on February 12, 2025.
Randy Walker lists a license in the registry: #149902 (TX) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Randy Walker?
The NPI number is 1104409374.
What is the phone number of Randy Walker?
The phone number listed for the practice location is (703) 347-3190.
Where is Randy Walker located?
Intrepid Spirit Clinic 36029 58TH Street, Fort Cavazos, TX 76544.
What is the taxonomy code for Randy Walker?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.