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Individual

DR. DOUGLAS ALAN WALDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
117 ROSEMARY CT, BASTROP, TX 78602-2239
(903) 926-4861
(888) 926-1513
Mailing address
117 ROSEMARY CT, BASTROP, TX 78602-2239
(903) 926-4861
(888) 926-1513

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036154971
IL
207X00000X
Orthopaedic Surgery Physician
4301506512
MI
207X00000X
Orthopaedic Surgery Physician
E-6674
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1597776-01
TX
05
1902801871
MI
Enumeration date
06/16/2005
Last updated
02/26/2026
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