Jill Waggoner is a Family Medicine in Dallas, Texas. Jill Waggoner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jill Waggoner is 1700940194. The last update date is 2022-03-23.
Jill Waggoner's current location address is 3450 W Wheatland Rd Pob I Ste 118, Dallas, Texas. You can contact this provider via phone number 9722982099 and fax number 9722982098. The mailing address for Jill Waggoner is 3450 W Wheatland Rd Pob I Ste 118, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Waggoner |
|---|---|
| Address | 3450 W Wheatland Rd Pob I Ste 118, Dallas, Texas |
| Phone Number | 9722982099 |
| Fax Number | 9722982098 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700940194 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 3450 W Wheatland Rd Pob I Ste 118 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752373470 |
| Phone Number | 9722982099 |
| Fax Number | 9722982098 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J4593 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104409103 | TX | -- | |
| 8AD157 | TX | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jill Waggoner by the Centers for Medicare & Medicaid Services?
The Jill Waggoner has been issued the NPI (National Provider Identifier) 1700940194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jill Waggoner?
The Jill Waggoner is physically situated at 3450 W Wheatland Rd Pob I Ste 118, in the city of Dallas, state of TX, with the postal code 752373470.
What is Jill Waggoner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jill Waggoner is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Jill Waggoner receive its 1700940194?
The Jill Waggoner was issued its 1700940194 on 2006-12-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Jill Waggoner's details last updated?
The information pertaining to the Jill Waggoner, including its address, specialty, and other details, was most recently updated on 2022-03-23.