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NPI Code Detail

MEDICARE: TIMOTHY B HADDEN MD

MEDICARE: TIMOTHY B HADDEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology PhysicianL2297TX

General Provider Information

NPI Number : 1639154461
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY B HADDEN MD
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 S MAIN ST
Second Line :
City : FT WORTH
State : TX
Zip : 76104-2410
Country : US
Telephone Number : 817-887-8155
Fax Number : 817-924-0789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 07/27/2023

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Directions to “ TIMOTHY B HADDEN MD” Practice Location

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