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Individual

DR. NICHOLAS TILL HADDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 INWOOD ROAD, DALLAS, TX 75390
(214) 645-3265
Mailing address
1801 INWOOD ROAD, DALLAS, TX 75390
(214) 645-3265

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
P2866
TX
208200000X
Plastic Surgery Physician
248029-1
NY
208200000X
Plastic Surgery Physician
Primary
P2866
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
248029-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
P2866
TX
390200000X
Student in an Organized Health Care Education/Training Program
248029-1
NY

Other

Enumeration date
10/16/2008
Last updated
09/04/2012
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