Walden Family Medicine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L4162 Issued in TX

Legal business name

WALDEN FAMILY MEDICINE, PA

Practice address

3504 Corinth Parkway
Suite 150
Corinth, TX 76208

Phone

(940) 498-4445

Fax

(940) 270-5002

NPI assigned

Oct 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacci Gayle Walden, M.D.

Title

Owner

Phone

(940) 498-4445

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1265629398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 CORINTH PARKWAY",
            "address_2": "SUITE 150",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-498-4445",
            "fax_number": "940-270-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 CORINTH PARKWAY",
            "address_2": "SUITE 150",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-498-4445",
            "fax_number": "940-270-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "JACCI",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-498-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Varma, SLP
• Verida Health Group LLC
• Fernando A Vignolo, D.D.S., M.S.
• Erin M Skrabanek Vincent, LAT
• Lisa Waid-McKenna, PHD, LPC-S
• Jacci Gayle Walden, MD
• Walgreen Co
• Sarah B Weitzul, MD
• Wilmann Management, LLC
• Megan Wilson, RN

• Primary Care Clinic/Center in Corinth, TX
• Providers in Corinth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.