Individual
NATHAN HASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
13737 NOEL RD STE 1500, DALLAS, TX 75240
(214) 217-1931
Mailing address
13737 NOEL RD STE 1500, DALLAS, TX 75240-1331
(480) 204-3673
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5563
TX
390200000X
Student in an Organized Health Care Education/Training Program
OT016129
PA
Other
Enumeration date
06/06/2014
Last updated
08/19/2018
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