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1629171434
SAMUEL T HADDOCK
FORT WORTH, TX
NPI
1629171434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: TX L0812)
Enumeration Date
2006-09-07
Last Update Date
2011-05-12
Business Address
-- SAMUEL T HADDOCK MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4095
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Mailing Address
-- SAMUEL T HADDOCK MD
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1855
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