Organization Active NPI

Richard Wootan, MD,PA

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1891004255
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E9034 Issued in TX
Legal business name
RICHARD WOOTAN, MD,PA
Practice address
9335 Garland Rd
Dallas, TX 75218-3639
Phone
(214) 324-2824
Fax
(214) 324-2825
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Richard Wootan, MD
Title
President/Owner
Phone
(214) 324-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E9034 TX Primary

Addresses

Primary practice location

9335 Garland Rd
Dallas, TX 75218-3639

Mailing address

8111 LBJ Fwy
Ste 835
Dallas, TX 75251-1313
Phone (972) 644-3232

National Provider Directory

National Provider Directory

Locations

10611 Garland Rd
Ste 220
Dallas, TX 75218
Phone (972) 989-8547

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1891004255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY",
            "address_2": "STE 835",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "972-644-3232",
            "fax_number": "972-644-7375"
        },
        {
            "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": "214-324-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WOOTAN, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "WOOTAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-324-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Oct 4, 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.