Active NPI
Richard Wootan, MD,PA
- Surgery Physician
- Dallas, TX
National Provider Identifier
1891004255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E9034
- 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
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) | 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
Ste 835
Dallas, TX 75251-1313
Phone (972) 644-3232
National Provider Directory
National Provider DirectoryLocations
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.