MEDICARE: DR. WILLIAM HAROLD HYDE 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
1	174400000X	Specialist	G6310	TX
2	2080N0001X	Neonatal-Perinatal Medicine Physician	G6310	TX

General Provider Information

NPI Number	:	1366483349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HAROLD HYDE M.D.

Provider Business Mailing Address
First Line	:	1706 CRESTED BUTTE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-7610
Country	:	US
Telephone Number	:	512-324-0000
Fax Number	:	512-324-0613

Provider Business Practice Location Address
First Line	:	4900 MUELLER BLVD
Second Line	:	NICU 4B062
City	:	AUSTIN
State	:	TX
Zip	:	78723-3079
Country	:	US
Telephone Number	:	512-324-0000
Fax Number	:	512-324-0613

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	11/26/2007

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