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NPI Code Detail

MEDICARE: RICHARD HALDEMAN M.D.

MEDICARE:   RICHARD  HALDEMAN  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
1207L00000XAnesthesiology PhysicianJ9697TX

General Provider Information

NPI Number : 1235133513
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD HALDEMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 650823 DEPT 41197
Second Line :
City : DALLAS
State : TX
Zip : 75265-0823
Country : US
Telephone Number : 800-411-7515
Fax Number :
Provider Business Practice Location Address
First Line : 3625 N HALL ST STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75219-5106
Country : US
Telephone Number : 214-252-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/22/2023

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Directions to “ RICHARD HALDEMAN M.D.” Practice Location

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