MEDICARE: DR. ROBERT HOUSTON HARDIN JR. MD

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	2085R0202X	Diagnostic Radiology Physician	EMC0006070	MI
2	2085R0202X	Diagnostic Radiology Physician	18490	MS
3	2085R0202X	Diagnostic Radiology Physician	080766	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225083942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT HOUSTON HARDIN JR. MD

Provider Business Mailing Address
First Line	:	2210 HERITAGE HILL DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-5821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 W JACKSON ST
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-2401
Country	:	US
Telephone Number	:	601-499-2873
Fax Number	:	601-355-7170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	04/17/2026

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