Organization
HADDAD UROLOGY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY I HADDAD MD (PRINCIPAL OFFICER)
(432) 714-4600
Entity
Organization
Contact information
Practice address
1501 W 11TH PL, SUITE103, BIG SPRING, TX 79720-4119
(432) 714-4600
(432) 714-4604
Mailing address
1501 W 11TH PL, SUITE103, BIG SPRING, TX 79720-4119
(432) 714-4600
(432) 714-4604
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F8503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072JY
BCBS OF TEXAS
—
05
—
160460501
—
TX
Enumeration date
10/13/2005
Last updated
04/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us