Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael James Waldron, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1760490130

Michael James Waldron, MD is an Anatomic Pathology & Clinical Pathology Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

505 S Nolen Dr Ste B
Southlake, TX 76092-9167
Phone: (817) 310-4490
Fax: (817) 310-4491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence E1165 (TX)

Record details

NPI number1760490130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESFebruary 23, 2017
Mailing addressPo Box 35629, Dallas, TX 75235-0629