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Individual

EDWIN STANDIFER HAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
400 ENTERPRISE BLVD STE 4, ROCKPORT, TX 78382
(361) 729-2800
Mailing address
400 ENTERPRISE BLVD STE 4, ROCKPORT, TX 78382
(361) 729-2800
(361) 729-2405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0064
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128220405
TX
Enumeration date
08/30/2006
Last updated
12/18/2007
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