Provider Demographics
NPI:1811594690
Name:WILLIAM C HADEN MD PLLC
Entity Type:Organization
Organization Name:WILLIAM C HADEN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:HADEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-799-4781
Mailing Address - Street 1:6331 MERCEDES AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3007
Mailing Address - Country:US
Mailing Address - Phone:214-799-4781
Mailing Address - Fax:214-614-9184
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:4TH FLOOR JONSSON BL
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-7524
Practice Address - Country:US
Practice Address - Phone:214-957-1067
Practice Address - Fax:214-614-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty