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Individual
HAYDEN HEAD
Active
Individual
HAYDEN HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10050113
TX
207Q00000X
Family Medicine Physician
Primary
R0585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374159701
MEDICAID
TX
01
—
587636YMAF
MEDICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
P01878872
MEDICARE RAIL ROAD
TX
Enumeration date
05/21/2014
Last updated
10/03/2017
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