Individual
WAYNE RANDOL HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 RED RIVER ST, AUSTIN, TX 78705-3245
(512) 472-6788
(512) 236-9647
Mailing address
3100 RED RIVER ST, AUSTIN, TX 78705-3245
(512) 472-6788
(512) 236-9647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D9483
TX
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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