Havalda, James T.

Havalda, James T. is an sole proprietor health care provider with primary practice located at 400 S 8Th St , Carrizo Springs TX 78834-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Havalda, James T. can be contacted via phone (830) 876-9492.

Contact Information

Primary practice address
400 S 8Th St Carrizo Springs TX 78834-3833
Fax: (830) 876-9493
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G0645 Texas

Profile Details

NPI number 1710972583
LBN Legal business name Havalda, James T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Jul 15th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710972583 NPPES
Other 020045206 RAILROAD MEDICARE
MEDICAID 129232806 RAILROAD MEDICARE

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