person
Samuel T Haddock, MD
Pediatric Emergency Medicine (Emergency Medicine) Physician in Fort Worth, Texas
NPI 1629171434

Samuel T Haddock is a Pediatric Emergency Medicine (Emergency Medicine) Physician based in Fort Worth, TX and is specialized in Pediatric Emergency Medicine. Samuel T Haddock practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Samuel T Haddock is 1629171434 and holds a License No. L0812 (Texas).

The current practice location address for Samuel T Haddock is 801 7Th Ave, Fort Worth, TX and can be reached out via phone at 682-885-4095 and via fax at 682-885-7499. You can also correspond with Samuel T Haddock through the mailing address at PO BOX 99213, FORT WORTH, TX - 76199-0213 (mailing address contact number: 682-885-1855).

Location: 801 7Th Ave, Fort Worth, TX, 76199-0213
person
Provider Profile Details
NPI Number
1629171434
Provider Name
Samuel T Haddock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 7Th Ave, Fort Worth, TX, 76199-0213
Phone Number
682-885-4095
Fax Number
682-885-7499
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006041002 05 TX
124211 01 TX SUPERIOR PIN
2840117 01 TX CIGNA PIN
006041003 05 TX
5297726 01 TX AETNA PIN
00L42V 01 TX BCBSTX GRP PIN
137283103 05 TX
8H8785 01 TX BCBSTX IND PIN
138456101 01 TX FIRSTCARE PIN
1746111 01 TX FIRSTHEALTH PIN
1866576 01 TX UHC PIN
10032051 01 TX AMERIGROUP PIN
1669442042 01 GRP NPI NUMBER
137345805 05 TX
institution
Provider Business Practice Location Address Details
Address
801 7Th Ave
City
State
Zip
76104-2733
Phone Number
682-885-4095
Fax Number
682-885-7499
person
Provider Business Mailing Address Details
Address
801 7Th Ave
City
State
Zip
76104-2733
Phone Number
682-885-4095
Fax Number
682-885-7499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Pediatric Emergency Medicine
Taxonomy
License No.
L0812 (Texas)
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
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