| Dr Kyle Ruben Walker, DO | |
|
3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234-4504 | |
| (210) 916-7890 | |
| Not Available |
| Full Name | Dr Kyle Ruben Walker |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114917408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 02002545A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M8413 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moab Regional Hospital | Moab, UT | Hospital |
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Davis Hospital And Medical Center | Layton, UT | Hospital |
| Kane County Hospital | Kanab, UT | Hospital |
| Beaver Valley Hospital | Beaver, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Medical Physician Specialists Pc | 5294639407 | 27 |
| Mountain Medical Physician Specialists Pc | 5294639407 | 27 |
| Entity Name | Innovative Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568400810 PECOS PAC ID: 2668432782 Enrollment ID: O20041013000920 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20081103000272 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20120731000639 |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140918000802 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20150917001294 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20150917002629 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20190606001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Ruben Walker, DO 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7890 | Dr Kyle Ruben Walker, DO 3551 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7890 |