Individual
RUDY M HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 747-2281
(325) 747-2212
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N3709
TX
207RC0000X
Cardiovascular Disease Physician
Primary
N3709
TX
207RI0011X
Interventional Cardiology Physician
N3709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827998500
—
MN
01
—
8DP709
BCBS
TX
Enumeration date
01/06/2006
Last updated
03/26/2025
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