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1114951209
FRED A WALTERS
WACO, TX
NPI
1114951209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F4646)
Enumeration Date
2006-07-11
Last Update Date
2008-05-13
Business Address
-- FRED A WALTERS MD
3000 HERRING AVENUE
WACO, TX 76708
Phone number: 254-202-2000
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Mailing Address
-- FRED A WALTERS MD
PO BOX 1888
GREENVILLE, TX 75403
Phone number: 800-945-2455
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