Organization
RICHARD WOOTAN, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WOOTAN MD (PRESIDENT/OWNER)
(214) 324-2824
Entity
Organization
Contact information
Practice address
9335 GARLAND RD, DALLAS, TX 75218-3639
(214) 324-2824
(214) 324-2825
Mailing address
8111 LBJ FWY, STE 835, DALLAS, TX 75251-1313
(972) 644-3232
(972) 644-7375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E9034
TX
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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