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Contact Information

DENNIS R HASLAM JR, MD
11801 S. FREEWAY
FORT WORTH, TX76134
 Phone: 817-293-9110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DENNIS R HASLAM JR · (Male)

NPI Number 1083679799
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 06/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M1746
  • TX Medicaid 176681801
Hospital affiliation(s)
  • HUGULEY HEALTH SYSTEM - (Acute Care)
    11801 SOUTH FREEWAY
    BURLESON, TX 76028
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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