Provider Demographics
NPI:1184727513
Name:HALDEN, WILLIAM JOSEPH SR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:HALDEN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1301 W 38TH ST
Mailing Address - Street 2:SUITE #309
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1012
Mailing Address - Country:US
Mailing Address - Phone:512-454-6767
Mailing Address - Fax:512-467-7211
Practice Address - Street 1:1301 W 38TH ST
Practice Address - Street 2:SUITE #309
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1012
Practice Address - Country:US
Practice Address - Phone:512-454-6767
Practice Address - Fax:512-467-7211
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC3065208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12216160Medicaid
TX12216160Medicaid