IndividualActive
Beverly Waddleton, DO
NPI 1629004684 · Family Medicine Physician · Quitman, TX
Provider details
- NPI number
- 1629004684
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- G0244 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
108 Parker St
Ste.300
Quitman, TX 75783-2102
Phone: (903) 763-6220
Fax: (903) 763-6222
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9477
Tyler, TX 75711-9477
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2011-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.