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

Wanda M Northam, MD

Individual provider Ophthalmology Physician · NPI 1780684183

Wanda M Northam, MD is an Ophthalmology in Texarkana, Texas. Graduated from University of Texas Medical School at San Antonio in 1987, 39 years ago. Practices with Charles E Lyon, MD, APMC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
39
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 Texas Blvd Ste 100
Texarkana, TX 75503-3033
Phone: (318) 222-8421
Fax: (318) 673-9972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence J0619 (TX)

Record details

NPI number1780684183
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020
Mailing address5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1987 (39 years in practice)
Group practice Charles E Lyon, Md, Apmc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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