Provider Demographics
NPI:1932117793
Name:HADNOTT, JAMES LEONARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEONARD
Last Name:HADNOTT
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 1:7300 FLOYD CURL DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-257-1400
Mailing Address - Fax:210-257-1428
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-257-1400
Practice Address - Fax:210-257-1428
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-12-01
Deactivation Date:2010-10-15
Deactivation Code:
Reactivation Date:2010-12-01
Provider Licenses
StateLicense IDTaxonomies
TXD0149207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122954402Medicaid
B23249Medicare UPIN
TX122954402Medicaid
TX83Z020Medicare PIN