Individual provider · Type 1 NPI
Randy Walker
Licensed Practical Nurse · Fort Cavazos, TX
Practice location
Intrepid Spirit Clinic 36029 58th Street
Fort Cavazos, TX 76544
Mailing address
36065 Santa Fe Ave
Fort Cavazos, TX 76544-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 149902 (TX) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1104409374
Randy Walker's National Provider Identifier is 1104409374, issued on May 4, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Cavazos, TX. The record was last updated on Feb 12, 2025.