MICHAEL JAMES WALDRON M.D.
NPI 1760490130
Pathology - Anatomic Pathology & Clinical Pathology in Southlake, TX

Q: What is the provider's specialty?

The provider's specialty is Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

Active since August 03, 2006

505 S NOLEN DR, SUITE B, SOUTHLAKE, TX 76092(817) 310-4490(817) 310-4491 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 23, 2017, Sep 30, 2015 (2 updates tracked since 2015).

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About Michael James Waldron M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JAMES WALDRON M.D. (NPI 1760490130) is an individual anatomic pathology & clinical pathology provider in Southlake, Texas, licensed in Texas (E1165) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1760490130

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameMICHAEL JAMES WALDRONCredential: M.D.

Location Address505 S NOLEN DR, SUITE BSouthlake, TX 76092-9167

Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2200 · Fax (214) 231-2159

Phone(817) 310-4490

Fax(817) 310-4491

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateFebruary 23, 20172 updates tracked since enumeration

✔ NPI 1760490130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TX · E1165

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

505 S NOLEN DR, Southlake, TX 76092

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Other Identifiers 5

Other80P362TX · Bcbs

Medicaid114577301TX

Other220006857TX · Railroad Medicare

Medicare UPINB27399

Medicare ID-Type Unspecified80P362TX · Locality 11

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›