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Individual

DR. HADAR SPIVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 BINZ, #1470, HOUSTON, TX 77004
(713) 520-8900
(713) 520-8905
Mailing address
1200 BINZ, #1470, HOUSTON, TX 77004
(713) 520-8900
(713) 520-8905

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5217
TX
208600000X
Surgery Physician
K5217
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096361302
TX
01
K5217
TX MED LIC
TX
Enumeration date
12/11/2006
Last updated
12/07/2009
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