Wall, Jean Oldham
Wall, Jean Oldham is an individual health care provider with primary practice located at 2222 Welborn St , Dallas TX 75219-3924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as her primary health care specialty. Wall, Jean Oldham can be contacted via phone (214) 559-5000.Contact Information
Primary practice address
2222 Welborn St
Dallas TX 75219-3924
Phone: (214) 559-5000
Fax: (214) 443-7309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | G5445 | Texas |
Profile Details
| NPI number | 1710982988 |
|---|---|
| LBN Legal business name | Wall, Jean Oldham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Mar 25th, 2016 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710982988 | NPPES |
| Texas | MEDICAID | 122889202 |
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