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NPI Code Detail

MEDICARE: MARK M HAYDEN MD

MEDICARE: MARK M HAYDEN 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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianJ9087TX

General Provider Information

NPI Number : 1376537175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK M HAYDEN MD
Provider Business Mailing Address
First Line : PO BOX 5357
Second Line :
City : NORMAN
State : OK
Zip : 73070-5357
Country : US
Telephone Number : 866-321-8433
Fax Number :
Provider Business Practice Location Address
First Line : 2101 PEASE ST
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-8307
Country : US
Telephone Number : 956-389-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/08/2007

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