Haslam, Dennis R

Haslam, Dennis R is an individual health care provider with primary practice located at 11801 S. Freeway , Fort Worth TX 76134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Haslam, Dennis R can be contacted via phone (817) 293-9110.

Contact Information

Primary practice address
11801 S. Freeway Fort Worth TX 76134
Phone: (817) 293-9110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M1746 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M1746 Texas

Profile Details

NPI number 1083679799
LBN Legal business name Haslam, Dennis R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 21st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083679799 NPPES
Texas MEDICAID 176681801

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