Provider Demographics
NPI:1730119009
Name:HADEN, WILLIAM CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTIAN
Last Name:HADEN
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 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:972-451-0219
Mailing Address - Fax:214-821-1193
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 550
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:972-451-0219
Practice Address - Fax:214-821-1193
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3903207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BR159OtherBCBS
TX045736801Medicaid
TX84233SOtherBCBS
TX8L8959Medicare PIN
G90186Medicare UPIN
TX8BR159OtherBCBS
TX8B1445Medicare PIN