Atrium Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D7800 Issued in TX

Legal business name

ATRIUM FAMILY MEDICAL CLINIC

Practice address

14465 Webb Chapel Rd Ste 111
Dallas, TX 75234-3600

Phone

(972) 247-6900

Fax

(972) 247-6923

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Howard Waddell, MDNPI 1700824919

Title

Owner

Phone

(972) 247-6900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Howard Waddell, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1700824919
  Authorized official Same address or phone

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1518159573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14465 WEBB CHAPEL RD STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752343600",
            "telephone_number": "972-247-6900",
            "fax_number": "972-247-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14465 WEBB CHAPEL RD STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752343600",
            "telephone_number": "972-247-6900",
            "fax_number": "972-247-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-247-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.