SearchTexas152W00000X

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 Pllc
Inferred 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