Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Jule Walters, PA-C

Individual provider Physician Assistant · NPI 1588420475

Mackenzie Jule Walters, PA-C is a Physician Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-2140
Fax: (817) 332-2506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17699 (TX)

Record details

NPI number1588420475
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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