Organization Active NPI

R. Mark Haman, D.O., P.a.

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1306944665
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0421 Issued in TX
Legal business name
R. MARK HAMAN, D.O., P.A.
Practice address
1239 E Irving Blvd
Irving, TX 75060-4354
Phone
(972) 579-8011
Fax
(972) 579-9454
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Mark Haman, D.O.NPI 1659551174
Title
Physician / Owner
Phone
(972) 579-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H0421 TX Primary

Addresses

Primary practice location

1239 E Irving Blvd
Irving, TX 75060-4354

Mailing address

1239 E Irving Blvd
Irving, TX 75060-4354
Phone (972) 579-8011

Other names 1

  • R. Mark Haman, D.O. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000908 TX Part B Supplier - Clinic/Group Practice 7315078078 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

1239 E Irving Blvd
Irving, TX 75060
Phone (214) 579-8011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1306944665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604354",
            "telephone_number": "972-579-8011",
            "fax_number": "972-579-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604354",
            "telephone_number": "972-579-8011",
            "fax_number": "972-579-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. MARK HAMAN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "972-579-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. Mark Haman, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.