Waddell, Dan A

Waddell, Dan A is an individual health care provider with primary practice located at 1721 Cimarron Trl Suite 5, Hurst TX 76054-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waddell, Dan A can be contacted via phone (817) 267-0550.

Contact Information

Primary practice address
1721 Cimarron Trl Suite 5 Hurst TX 76054-3400
Phone: (817) 267-0550
Fax: (817) 545-2368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D7703 Texas

Profile Details

NPI number 1437100062
LBN Legal business name Waddell, Dan A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437100062 NPPES
Texas Other 8AQ470 BCBS
Texas MEDICAID 127778202 BCBS
Texas MEDICAID 127778206 BCBS
Texas Other P00621292 BCBS
Texas Other 00D525 BCBS
Texas Other 113928802 BCBS

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