Individual
DR. JAMES T. HAVALDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 8TH ST, CARRIZO SPRINGS, TX 78834-3833
(830) 876-9492
(830) 876-9493
Mailing address
400 S 8TH ST, PO BOX 975, CARRIZO SPRINGS, TX 78834-3833
(830) 876-9492
(830) 876-9493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G0645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020045206
RAILROAD MEDICARE
—
05
—
129232806
—
TX
Enumeration date
09/16/2005
Last updated
07/15/2013
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