Healthcare Provider Details

I. General information

NPI: 1457882318
Provider Name (Legal Business Name): RAM HADDAS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 03/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 W PARKER RD
PLANO TX
75093-8171
US

IV. Provider business mailing address

4448 DENVER DR
PLANO TX
75093-5400
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-2730
  • Fax:
Mailing address:
  • Phone: 972-943-2730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: