Michael James Waldron, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Southlake, Texas. Michael James Waldron is licensed to practice in Texas (license number E1165) and his current practice location is 505 S Nolen Dr, Suite B, Southlake, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 310-4490.
NPI number for Michael James Waldron is 1760490130 and his current mailing address is Po Box 35629, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760490130.
Physician's Profile
| Full Name | Michael James Waldron |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 505 S Nolen Dr, Southlake, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760490130
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 02/23/2017
Medical Identifiers
Medical identifiers for Michael James Waldron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760490130 | NPI | - | NPPES |
| 220006857 | Other | TX | RAILROAD MEDICARE |
| 80P362 | Other | TX | BCBS |
| 114577301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | E1165 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael James Waldron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael James Waldron, MD
Po Box 35629,
Dallas, TX 75235-0629
Ph: (214) 424-2200 | Michael James Waldron, MD
505 S Nolen Dr, Suite B,
Southlake, TX 76092-9167
Ph: (817) 310-4490 |
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