Individual
DR. JEFFREY ALLAN HAITHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 N WASHINGTON AVE, SUITE 101, DALLAS, TX 75246-1619
(214) 841-3017
Mailing address
712 N WASHINGTON AVE, SUITE 101, DALLAS, TX 75246-1619
(214) 841-3017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M1738
TX
Other
Enumeration date
10/14/2006
Last updated
03/05/2012
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