Richard Wootan, Md,pa

NPI #1891004255 in Dallas, Texas

Provider Information

NPI Number: 1891004255
Entity Type: Organization
Organization Name: Richard Wootan, Md,pa
Primary Specialty: Surgery
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 9335 GARLAND RD
City: Dallas
State: Texas
ZIP Code: 75218-3639
Phone: (214) 324-2824

Authorized Official

Name: DR. RICHARD WOOTAN, MD
Title: PRESIDENT/OWNER
Phone: (214) 324-2824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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