Organization
DOUGLAS A. WALDMAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN WALDMAN M.D. (PRESIDENT)
(903) 935-1151
Entity
Organization
Contact information
Practice address
304 UNIVERSITY AVE, SUITE 212, MARSHALL, TX 75670-5210
(903) 935-1151
(903) 935-0077
Mailing address
304 UNIVERSITY AVE, SUITE 212, MARSHALL, TX 75670-5210
(903) 935-1151
(903) 935-0077
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E-6674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158777601
—
TX
Enumeration date
10/11/2007
Last updated
06/24/2008
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