Ziad Rafic Haydar

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0815 Issued in TX

Practice address

601 Clara Barton Blvd
Suite 340
Garland, TX 75042-5738

Phone

(972) 272-6554

Fax

(972) 272-9137

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1437178043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "972-272-6554",
            "fax_number": "972-272-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CLARA BARTON BLVD",
            "address_2": "SUITE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425738",
            "telephone_number": "972-272-6554",
            "fax_number": "972-272-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDAR",
        "first_name": "ZIAD",
        "middle_name": "RAFIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0815",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K0815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040516901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040516903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AL615",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard Shad Hattaway, D.D.S.
• Haven Innerhealing Ministries
• Kaylan A Hayes
• Larry D Hayes, DPM
• Morgan Haygood, MS, RD, LD
• James Cole Hayhurst, MD
• Hcri Healthcare LLC

• Family Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.