Dan A. Waddell, D.o., Pllc

NPI #1265635031 in Colleyville, Texas

Provider Information

NPI Number: 1265635031
Entity Type: Organization
Organization Name: Dan A. Waddell, D.o., Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 7, 2007
Last Updated: Oct 20, 2008

Practice Location

Address: 88 VILLAGE LN
Address 2: SUITE 105
City: Colleyville
State: Texas
ZIP Code: 76034-2972
Phone: (817) 267-0550

Authorized Official

Name: DAN A WADDELL, D.O.
Title: PRESIDENT
Phone: (817) 267-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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