Individual
NATHAN BOYDSTON HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 GOLDEN TRIANGLE BLVD, FORT WORTH, TX 76177-7165
(817) 540-4477
(817) 540-5633
Mailing address
2425 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 540-4477
(817) 510-0185
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10047226
TX
207X00000X
Orthopaedic Surgery Physician
Primary
R9974
TX
Other
Enumeration date
04/29/2013
Last updated
09/21/2022
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