Provider Demographics
NPI:1447362538
Name:ARTHUR HADLEY MEDICINE
Entity type:Organization
Organization Name:ARTHUR HADLEY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:TWINING
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD PA MPH TM MBA FAA
Authorized Official - Phone:281-597-1010
Mailing Address - Street 1:11777 KATY FREEWAY
Mailing Address - Street 2:SUITE 270 SOUTH
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:281-597-1010
Mailing Address - Fax:281-597-0015
Practice Address - Street 1:11777 KATY FREEWAY
Practice Address - Street 2:SUITE 270 SOUTH
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:281-597-1010
Practice Address - Fax:281-597-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1912207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F32298Medicare UPIN