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Hayden O Jack, MD
Diagnostic Radiology Physician in Fort Worth, Texas
NPI 1093795338

Hayden O Jack is a Diagnostic Radiology Physician based in Fort Worth, TX and is specialized in Diagnostic Radiology. Hayden O Jack practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Hayden O Jack is 1093795338 and holds a License No. 0101054381 (Texas).

The current practice location address for Hayden O Jack is 815 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-321-0387 and via fax at 469-522-6889. You can also correspond with Hayden O Jack through the mailing address at 816 W CANNON ST, FORT WORTH, TX - 76104-3146 (mailing address contact number: 817-321-0404).

Location: 815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
person
Provider Profile Details
NPI Number
1093795338
Provider Name
Hayden O Jack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
815 Pennsylvania Ave, Fort Worth, TX, 76104-3146
Phone Number
817-321-0387
Fax Number
469-522-6889
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121715004 05 TX
121715008 05 TX
285250101 05 TX
institution
Provider Business Practice Location Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0387
Fax Number
469-522-6889
person
Provider Business Mailing Address Details
Address
815 Pennsylvania Ave
City
State
Zip
76104-2224
Phone Number
817-321-0387
Fax Number
469-522-6889
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
0101054381 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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