Provider Demographics
NPI:1497758460
Name:HARDIN, THAD DAVID (M D)
Entity Type:Individual
Prefix:MR
First Name:THAD
Middle Name:DAVID
Last Name:HARDIN
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:3415 GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8355
Mailing Address - Country:US
Mailing Address - Phone:903-526-0444
Mailing Address - Fax:903-526-2051
Practice Address - Street 1:1260 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-3619
Practice Address - Country:US
Practice Address - Phone:903-675-8111
Practice Address - Fax:903-675-3888
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL0248207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist