Richard Terrell Haydock, CRNA
Nurse Anesthetist, Certified Registered in Houston, TX. Individual provider (NPI-1).
Details
- NPI
- 1528094729
- Entity type
- Individual (NPI-1)
- Name
- Richard Terrell Haydock
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Last updated
- Aug 24, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP115110 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | RN646443 | TX | |
| 367500000X | Nurse Anesthetist, Certified Registered | 646443 | TX |
Practice location
1635 North Loop WestHouston, TX 77008-1593
Phone 713-400-2990 · Fax 713-400-2993
Mailing address
Post Office Box 22926Jackson, MS 39225
Phone 713-400-2990 · Fax 713-400-2993
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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