Provider Demographics
NPI:1942093877
Name:WALKER, CHERESE (EDDIAG, MED)
Entity type:Individual
Prefix:
First Name:CHERESE
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:EDDIAG, MED
Other - Prefix:
Other - First Name:CHERESE
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDDIAG, MED
Mailing Address - Street 1:3900 BRIARGROVE LN APT 14304
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-8335
Mailing Address - Country:US
Mailing Address - Phone:972-878-4262
Mailing Address - Fax:
Practice Address - Street 1:3900 BRIARGROVE LN APT 14304
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-8335
Practice Address - Country:US
Practice Address - Phone:972-878-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist