Search › Texas › 152W00000X
Rayburn Haddon, OD
NPI 1861737272 · on the registry since 2012
Practice
- Address
- 4824 S Broadway Ave
Tyler, TX 75703 - Phone
- (901) 358-1202
- Organisation at this address
- Eugene D. Bennett
20/20 Icare Tyler PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas