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Individual

GREGORY MATTHEW HADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
720 W 34TH ST, SUITE 101, AUSTIN, TX 78705-1205
(512) 452-8533
Mailing address
720 W 34TH ST, SUITE 101, AUSTIN, TX 78705-1205

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1124
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174411201
TX
05
174411202
TX
05
174411205
TX
Enumeration date
05/03/2006
Last updated
04/04/2008
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