Wanda M Northam in Texarkana - Ophthalmology
Wanda M Northam - NPI 1780684183
Wanda M Northam is a Ophthalmology in Texarkana, Texas. Wanda M Northam practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Wanda M Northam is 1780684183. The last update date is 2020-12-31.
Wanda M Northam's current location address is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can contact this provider via phone number 3182228421. The mailing address for Wanda M Northam is 5002 Cowhorn Creek Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda M Northam |
|---|---|
| Address | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| Phone Number | 3182228421 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780684183 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2020-12-31 |
Provider Mailing Address Detail
| Address | 5002 Cowhorn Creek Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755039766 |
| Phone Number | 3182228421 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | J0619 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119308001 | AR | -- | |
| 47789501 | TX | -- |
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What is the unique identifier code issued to Wanda M Northam by the Centers for Medicare & Medicaid Services (CMS)?
The Wanda M Northam has been assigned the NPI (National Provider Identifier) 1780684183. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Wanda M Northam's physical address?
The Wanda M Northam is physically located at 5002 Cowhorn Creek Rd, in the city of Texarkana, TX, with the postal code 755039766.
What is the area of specialization for Wanda M Northam, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wanda M Northam is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780684183 to Wanda M Northam?
The Wanda M Northam received its 1780684183 assignment from the Centers for Medicare & Medicaid Services on 2005-07-28.
As of what date were the Wanda M Northam's details last updated?
The information pertaining to the Wanda M Northam, including its address, specialty, and other details, was most recently updated on 2020-12-31.