MEDICARE: WILLIAM C HADEN MD PLLC

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
1	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1811594690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C HADEN MD PLLC

Provider Business Mailing Address
First Line	:	6331 MERCEDES AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-3007
Country	:	US
Telephone Number	:	214-799-4781
Fax Number	:	214-614-9184

Provider Business Practice Location Address
First Line	:	3500 GASTON AVE
Second Line	:	4TH FLOOR JONSSON BL
City	:	DALLAS
State	:	TX
Zip	:	75246-7524
Country	:	US
Telephone Number	:	214-957-1067
Fax Number	:	214-614-9184

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM C HADEN
Credential	:	MD
Telephone Number	:	214-799-4781

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	01/19/2021

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