Provider Demographics
NPI:1457400392
Name:HAGUE, EDWARD HUGH (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HUGH
Last Name:HAGUE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:TX
Mailing Address - Zip Code:76266-6605
Mailing Address - Country:US
Mailing Address - Phone:940-368-4205
Mailing Address - Fax:
Practice Address - Street 1:304 DEER RUN DR
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:TX
Practice Address - Zip Code:76266-6605
Practice Address - Country:US
Practice Address - Phone:940-368-4205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10502111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation