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NIKKI A WALDEN MD PA NPI 1063673879


NPI Information

NPI: 1063673879
Provider Name: NIKKI A WALDEN MD PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4325 N JOSEY LN
300
CARROLLTON, TX
ZIP 75010
Phone: (972) 820-9333
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NIKKI A WALDEN MD PA is a specialist in Carrollton, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NIKKI A WALDEN MD PA NPI is 1063673879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4325 N JOSEY LN
300
CARROLLTON, TX
ZIP 75010-635
Phone: (972) 820-9333

The provider's authorized official is Mike Walden .
The authorized official title is Office Manager and has the following contact phone number (972) 820-9333.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistL8999TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116244OTHERTEXASPARKLAND
24732959OTHERTEXASCIGNA
300809YMEDICARE PINTEXAS
4I17011MEDICARE UPINTEXAS
50066MHOTHERTEXASBLUE CROSS BLUE SHIELD
64501037598OTHERTEXASCLIA
7173131701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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