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NPI Code Detail

MEDICARE: DR. JAMES DOMINIC HADDAD M.D.

MEDICARE: DR. JAMES DOMINIC HADDAD M.D.
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
1207R00000XInternal Medicine Physician01074517AIN
2207RG0100XGastroenterology PhysicianU1506TX

General Provider Information

NPI Number : 1700126026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES DOMINIC HADDAD M.D.
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 : 5236 W UNIVERSITY DR STE 3300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-8121
Country : US
Telephone Number : 972-562-4430
Fax Number : 972-529-2763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2013
Last Update Date : 09/04/2024

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