Provider Demographics
NPI:1164460002
Name:DENHAM, CLAUDE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:ANDREW
Last Name:DENHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:3410 WORTH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-370-1000
Practice Address - Fax:214-370-1202
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3283207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138265703Medicaid
TX138265708OtherCHSCN
TX138265710Medicaid
TX138265707Medicaid
TX8R1424OtherBLUE CROSS OF TEXAS
TX138265705Medicaid
TX138265701Medicaid
TX138265702Medicaid
TX138265706Medicaid
TX138265704Medicaid
D75162Medicare UPIN
TX138265705Medicaid
TX138265707Medicaid
TX138265703Medicaid
TX89M086Medicare PIN
TX892823Medicare PIN