Douglas a. Waldman, M.D., P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E-6674 Issued in TX

Legal business name

DOUGLAS A. WALDMAN, M.D., P.A.

Practice address

304 University Ave
Suite 212
Marshall, TX 75670-5210

Phone

(903) 935-1151

Fax

(903) 935-0077

NPI assigned

Oct 11, 2007

Last updated

Jun 24, 2008By 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. Douglas Alan Waldman, M.D.

Title

President

Phone

(903) 935-1151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1932397288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 UNIVERSITY AVE",
            "address_2": "SUITE 212",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705210",
            "telephone_number": "903-935-1151",
            "fax_number": "903-935-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 UNIVERSITY AVE",
            "address_2": "SUITE 212",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705210",
            "telephone_number": "903-935-1151",
            "fax_number": "903-935-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. WALDMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-935-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E-6674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158777601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DCS Medical PA (Integrity Urgent Care)
• Britney De la Rosa, DNP, APRN, FNP-C
• Bruce W. Debeer, O.D.
• Tonja Deem, AGACNP-BC
• Cortina Dixon, M. ED, MBA
• Douglas E Duncan MD
• Dudley Consulting & Coaching Services, LLC. (Mitchell Wellness & Recovery Services)
• Dudley Consulting & Coaching Services, LLC.
• Crystal Dionne Dudley, LPC, LCDC
• Janice Larue Dudley, LVN

• Orthopaedic Surgery Physician in Marshall, TX
• Providers in Marshall, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.