Wanda M Northam, MD

NPI #1780684183 in Texarkana, Texas

Provider Information

NPI Number: 1780684183
Entity Type: Individual
Name: Wanda M Northam, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 28, 2005
Last Updated: Dec 31, 2020

Practice Location

Address: 4800 TEXAS BLVD STE 100
City: Texarkana
State: Texas
ZIP Code: 75503-3033
Phone: (318) 222-8421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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