Individual provider · Type 1 NPI

Matthew Evann Walker Jr.

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1184578064 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

216 Hazel Blvd
Tulsa, OK 74114-3926

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP084167800 (OK)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184578064

Matthew Evann Walker Jr.'s National Provider Identifier is 1184578064, issued on Feb 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Feb 25, 2026.