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Cody A Walthall, MD
Student in an Organized Health Care Education/Training Program in Cuero, Texas
NPI 1487009734

Cody A Walthall is a Student in an Organized Health Care Education/Training Program based in Cuero, TX. Cody A Walthall practices in Cuero, TX and has the professional credentials of MD. The NPI Number for Cody A Walthall is 1487009734 and holds a License No. S2925 (Texas).

The current practice location address for Cody A Walthall is 1109 E Broadway St, Cuero, TX and can be reached out via phone at 361-275-2800 and via fax at 361-275-8791.

Location: 1109 E Broadway St, Cuero, TX, 77954-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487009734
Provider Name
Cody A Walthall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1109 E Broadway St, Cuero, TX, 77954-2108
Phone Number
361-275-2800
Fax Number
361-275-8791
Provider Enumeration Date
04/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
842333 01 TX MEDICARE
400778302 05 TX
S2925 01 TX STATE LIC
institution
Provider Business Practice Location Address Details
Address
1109 E Broadway St
City
Cuero
State
Texas
Zip
77954
Phone Number
361-275-2800
Fax Number
361-275-8791
person
Provider Business Mailing Address Details
Address
1109 E Broadway St
City
Cuero
State
Texas
Zip
77954
Phone Number
361-275-2800
Fax Number
361-275-8791
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E-10831 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S2925 (Texas)
Definition
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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