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1316022148

NPI Code Detail

MEDICARE: DR. SAMUEL JAMES HARDEN MD

MEDICARE: DR. SAMUEL JAMES HARDEN 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	208600000X	Surgery Physician	M0746	TX
2	208600000X	Surgery Physician	00017674	AL
3	208600000X	Surgery Physician	18392	WI
4	208600000X	Surgery Physician	MD2023-0268	NM

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
2	00017674	OTHER	AL	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316022148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL JAMES HARDEN MD

Provider Business Mailing Address
First Line	:	2501 JIMMY JOHNSON STE 205
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77640-2009
Country	:	US
Telephone Number	:	706-582-2344
Fax Number	:	706-582-2344

Provider Business Practice Location Address
First Line	:	415 N AVENUE F
Second Line	:
City	:	DENVER CITY
State	:	TX
Zip	:	79323-2741
Country	:	US
Telephone Number	:	806-592-9501
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	02/03/2025

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Directions to “ DR. SAMUEL JAMES HARDEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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