Haddock, Samuel T

Haddock, Samuel T is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Haddock, Samuel T can be contacted via phone (682) 885-4095.

Contact Information

Primary practice address
801 7Th Ave Fort Worth TX 76104-2733
Phone: (682) 885-4095
Fax: (682) 885-7499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X L0812 Texas

Profile Details

NPI number 1629171434
LBN Legal business name Haddock, Samuel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated May 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629171434 NPPES
Texas MEDICAID 006041002
Texas Other 124211
Texas Other 2840117
Texas MEDICAID 006041003
Texas Other 5297726
Texas Other 00L42V
Texas MEDICAID 137283103
Texas Other 8H8785
Texas Other 138456101
Texas Other 1746111
Texas Other 1866576
Texas Other 10032051
Texas Other 1669442042
Texas MEDICAID 137345805

Popular Providers