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Individual
RICHARD TERRELL HAYDOCK
Active
Individual
RICHARD TERRELL HAYDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
646443
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115110
TX
367500000X
Certified Registered Nurse Anesthetist
RN646443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1792683
LOUISIANA MEDICAID
LA
01
—
86588U
BCBS
TX
01
—
P00611251
MEDICARE RAILROAD
—
Enumeration date
06/23/2006
Last updated
08/24/2018
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