Individual provider Active NPI

Maureen Wooten Watts, MD

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1750497434
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H7852 Issued in TX
Practice address
9101 N Central Expy Ste 400
Dallas, TX 75231-6009
Phone
(214) 820-9272
Fax
(214) 820-9003
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H7852 TX Primary

Addresses

Primary practice location

9101 N Central Expy Ste 400
Dallas, TX 75231-6009

Mailing address

8330 Meadow Rd
Suite 204
Dallas, TX 75231-3767
Phone (214) 379-1100

Other practice location 1

11910 Greenville Ave Ste 509
Dallas, TX 75243-9331
Phone (214) 820-9272

Other practice location 2

8330 Meadow Rd
Suite 204
Dallas, TX 75231-3767
Phone (214) 379-1100

Other identifiers 2

IdentifierTypeStateIssuer
142094502MedicaidTX
142094501MedicaidTX

Other names 1

  • Maureen Patrice Wooten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000214 TX Practitioner - Neurology 2062443591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7852TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Dallas, P.a. Neurology Past Accepting new patients
Neurological Clinic of Texas PA Neurology Past Accepting new patients
Neurology Specialists PLLC Neurology PastSince Jan 15, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1750497434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 MEADOW RD",
            "address_2": "SUITE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313767",
            "telephone_number": "214-379-1100",
            "fax_number": "214-379-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316009",
            "telephone_number": "214-820-9272",
            "fax_number": "214-820-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11910 Greenville Ave Ste 509",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752439331",
            "country_code": "US",
            "telephone_number": "214-820-9272",
            "fax_number": "214-820-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8330 Meadow Rd",
            "address_2": "SUITE 204",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313767",
            "country_code": "US",
            "telephone_number": "214-379-1100",
            "fax_number": "214-379-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "MAUREEN",
        "middle_name": "WOOTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H7852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142094502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142094501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "WOOTEN",
            "middle_name": "PATRICE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.