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Individual

MR. DAVID MARSHALL HAGGARD II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, NNP-BC

Contact information

Practice address
1325 PENNSYLVANIA AVE, SUITE 740, FORT WORTH, TX 76104-2158
(817) 250-5422
Mailing address
2526 BUSINESS CENTER DRIVE, APT. 1117, PEARLAND, TX 77584-2295
(859) 749-8747

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752517
TX
363LN0000X
Neonatal Nurse Practitioner
752517
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
HAG1-0433-4054
TX

Other

Enumeration date
09/13/2007
Last updated
04/05/2011
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