Most Relevant Information
Provider Data
| NPI Number: | 1003205188 |
| Provider Name: | BRIAN WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 314000000X |
| Specialty: | Skilled Nursing Facility |
| License Number: | A-0494 |
Most Important Dates
| Enumeration Date: | 01/13/2015 |
| Last Updated: | 01/13/2015 |
Provider Practice Location
10101 LGRMA ORO RD NE
ALBUQUERQUE
NM
871116022
Practice Location Phone/Fax
| Phone: | 5053326110 |
| Fax: |
Provider Mailing Location
10101 LGRMA ORO RD NE
ALBUQUERQUE
NM
871116022
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |