Walden Family Medicine, PA

NPI #1265629398 in Corinth, Texas

Provider Information

NPI Number: 1265629398
Entity Type: Organization
Organization Name: Walden Family Medicine, PA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 2, 2007
Last Updated: May 18, 2010

Practice Location

Address: 3504 CORINTH PARKWAY
Address 2: SUITE 150
City: Corinth
State: Texas
ZIP Code: 76208
Phone: (940) 498-4445

Authorized Official

Name: DR. JACCI GAYLE WALDEN, M.D.
Title: OWNER
Phone: (940) 498-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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