Provider Demographics
NPI:1871552398
Name:HAYDEN, SHAWN ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:ANDREW
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260963
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-0963
Mailing Address - Country:US
Mailing Address - Phone:214-731-3008
Mailing Address - Fax:972-608-2026
Practice Address - Street 1:3920 ALMA DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-6748
Practice Address - Country:US
Practice Address - Phone:214-731-3008
Practice Address - Fax:972-608-2026
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6421207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B1725Medicare ID - Type Unspecified
TXH38615Medicare UPIN