Individual
DR. JAMES RUSSELL HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 COLLEGE AVE, FORT WORTH, TX 76104-3033
(817) 336-8855
(817) 336-4228
Mailing address
1000 COLLEGE AVE, FORT WORTH, TX 76104-3033
(817) 336-8855
(817) 336-4228
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
L0234
TX
207KA0200X
Allergy Physician
L0234
TX
207R00000X
Internal Medicine Physician
L0234
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
L0234
TX
Other
Enumeration date
06/27/2006
Last updated
07/15/2021
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