Dan A. Waddell, D.O., Pllc

LBN: Dan A. Waddell, D.O., Pllc
Dan A. Waddell, D.O., Pllc is an health care organization with primary practice located at 88 Village Ln Suite 105, Colleyville TX 76034-2972. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dan A. Waddell, D.O., Pllc can be contacted via phone (817) 267-0550, or through Waddell, Dan A via phone (817) 267-0550.

Contact Information

Primary practice address
88 Village Ln Suite 105 Colleyville TX 76034-2972
Phone: (817) 267-0550
Fax: (817) 545-2368
Website:
Map and Directions
Authorized official contact:
Name: Waddell, Dan A Doctor of Osteopathy (DO)
Phone: (817) 267-0550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D7703 Texas

Profile Details

NPI number 1265635031
LBN Legal business name Dan A. Waddell, D.O., Pllc
DBA Doing business as
Authorized official Waddell, Dan A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265635031 NPPES
Texas MEDICAID 191097801
Texas Other 0028QH
Texas Other DN4715

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