WALDEN FAMILY MEDICINE, PA (NPI# 1265629398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265629398 |
| Entity Type | Organization |
| Organization Name | WALDEN FAMILY MEDICINE, PA |
| Practice Address |
3504 Corinth Parkway Suite 150 Corinth TX 76208 |
| Practice Telephone | 9404984445 |
| Practice Fax Number | 9402705002 |
| Mailing Telephone | 9404984445 |
| Mailing Fax Number | 9402705002 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | DR. JACCI GAYLE WALDEN (OWNER) |
| Authorized Official Telephone | 9404984445 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
L4162 | TX | Ambulatory Health Care Facilities |
| Street Address |
3504 CORINTH PARKWAY SUITE 150 |
| City | CORINTH |
| State | TX |
| Zip Code | 76208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645145 | Jacci Gayle Walden | Family Medicine | 3504 Corinth Parkway, Suite 150, Corinth, TX 76208 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636212 | Aesthetic Dentistry and Implant Center Pllc | Dentist | 3500 Corinth Pkwy, Suite 200, Corinth, TX 76208 | 2019-05-30 |
| 1891285870 | Patricia Esame Ashu | Registered Nurse | 5416 Sea Cove Ln, Denton, TX 76208 | 2018-05-15 |
| 1275060956 | Fatoumata Keita | Pharmacy Technician | 3416 Oceanview Dr, Denton, TX 76208 | 2017-05-12 |
| 1649664897 | Matties Ranch LLC | Psychologist | 5014 Oak Bend Circle, Denton, TX 76208 | 2015-03-25 |
| 1326438144 | Dyan Alexander | Occupational Therapist | 1919 Brinker Rd, Denton, TX 76208 | 2015-02-01 |
| 1740689074 | Amber Thomas | Registered Nurse | 2014 Denton, Denton, TX 76208 | 2014-08-22 |
| 1548532997 | Anew Dental P.C. | Dentist | 1601 Brinker Rd, Unit 111, Denton, TX 76208 | 2012-02-01 |
| 1942591607 | Olga Doroftei Md Pa | Physical Medicine & Rehabilitation | 3511 Corinth Pkwy, Corinth, TX 76208 | 2011-04-28 |
| 1437454592 | Jamie Garcia-bartlett | Speech-Language Pathologist | 828 Thomas Crossing, Burleson, TX 76208 | 2011-01-21 |
| 1639471543 | Addis Pharmacy Inc | Pharmacy | 3305 S Mayhill Road, Suite 101, Denton, TX 76208 | 2010-11-29 |
| Find all providers in zip 76208 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1134383482 | King Family Healthcare, Inc. | Clinic/Center | 815 Childs Street, Corinth, MS 38834-3720 | 2008-07-16 |
| 1245351048 | North Harper Minor Medical Clinic, LLC | Clinic/Center | 121 A Pratt Drive, Suite C, Corinth, MS 38834 | 2007-04-02 |
| 1669810636 | Faith Family Clinic of Kossuth, LLC | Clinic/Center | 820 Highway 2, Corinth, MS 38834-7954 | 2013-06-11 |
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| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.