Individual
FRED E. HARDWICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 US HIGHWAY 83 N, CHILDRESS, TX 79201-2322
(940) 937-3636
(940) 937-9615
Mailing address
100 BELLA VISTA ST, CHILDRESS, TX 79201-2304
(806) 778-2688
(940) 937-9615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H0428
TX
207RX0202X
Medical Oncology Physician
Primary
H0428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100166970A
—
OK
01
—
114565100
FIRSTCARE COMMERCIAL
TX
05
—
114565101
—
TX
05
—
135619803
—
TX
05
—
135619804
—
TX
01
—
63916
PRESBYTERIAN COMMERCIAL
NM
05
—
63916
—
NM
05
—
77643
—
NM
01
—
81321Y
BC/BS
TX
01
—
84210Z
HMO BLUE
TX
01
—
A416
TRIWEST
—
Enumeration date
10/12/2005
Last updated
05/24/2021
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