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NPI Code Detail

MEDICARE: JAMES R HADEN, MD, PA

MEDICARE: JAMES R HADEN, MD, PA
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
1207K00000XAllergy & Immunology PhysicianL0234TX

General Provider Information

NPI Number : 1124063706
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES R HADEN, MD, PA
Provider Business Mailing Address
First Line : 1000 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3033
Country : US
Telephone Number : 817-336-8855
Fax Number : 817-336-4228
Provider Business Practice Location Address
First Line : 1000 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3033
Country : US
Telephone Number : 817-336-8855
Fax Number : 817-336-4228
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES R HADEN
Credential : MD
Telephone Number : 817-336-8855
Provider Enumeration Date : 06/18/2006
Last Update Date : 08/22/2020

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