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NPI Code Detail

MEDICARE: JON LUIGI HADDAD M.D.

MEDICARE: JON LUIGI 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
1207X00000XOrthopaedic Surgery Physician55430MN
2207RC0000XCardiovascular Disease PhysicianJ8260TX

General Provider Information

NPI Number : 1891762787
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON LUIGI HADDAD M.D.
Provider Business Mailing Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-358-6726
Provider Business Practice Location Address
First Line : 1901 PORT LN
Second Line :
City : AMARILLO
State : TX
Zip : 79106-2430
Country : US
Telephone Number : 806-358-4596
Fax Number : 806-358-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 01/15/2025

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Directions to “ JON LUIGI HADDAD M.D.” Practice Location

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