Richard Wootan, MD,PA

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

Last updated

Oct 4, 2010By 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. Richard Wootan, MDNPI 1528028172

Title

President/Owner

Phone

(214) 324-2824

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.

• Richard C Wootan, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1528028172
  Authorized official Same address or phone

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": []
}

• Richard Ha MD PA
• Richard Ha MD PA
• Richard W. Hare, D.C. (Synergy Sports Rehab)
• Richard William Collins, PSYD, PLLC
• Richard Williams - Physician Assistant, PLLC
• Adrian Monique Richard
• Blake Walker Richard, DDS
• Brian D Richard, RD, LD, CDE
• Clenesha Richard
• Janae' Elizabeth Richard

• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• 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.