Provider Demographics
NPI:1720120579
Name:HADLEY, ARTHUR TWINING III (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:TWINING
Last Name:HADLEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:20303 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3010
Mailing Address - Country:US
Mailing Address - Phone:281-597-1010
Mailing Address - Fax:281-597-0015
Practice Address - Street 1:20303 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3010
Practice Address - Country:US
Practice Address - Phone:281-597-1010
Practice Address - Fax:281-597-0015
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1912207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF32298Medicare UPIN