Active NPI
Richard C Wootan, M.D.
- Surgery Physician
- Dallas, TX
National Provider Identifier
1528028172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E9034
- Practice address
- 9335 Garland Rd
Dallas, TX 75218-3639 - Phone
- (214) 324-2824
- Fax
- (214) 327-9551
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E9034 | TX | Primary |
Addresses
Primary practice location
9335 Garland Rd
Dallas, TX 75218-3639
Mailing address
8111 LBJ Fwy
Suite 835
Dallas, TX 75251-1313
Phone (972) 437-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9034 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528028172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 LBJ FWY",
"address_2": "SUITE 835",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511313",
"telephone_number": "972-437-2577",
"fax_number": "972-644-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9335 GARLAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183639",
"telephone_number": "214-324-2824",
"fax_number": "214-327-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTAN",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E9034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.