| Doctor Name: | CHARLES W CADENHEAD |
| NPI Number: | 1174531735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 1417 North 1st Street Suite A Haskell, TX - 795210938 |
| Business Phone Number: | 9408642636 |
| Business Fax Number: | 9408643009 |
| Mailing Address: | 1417 North 1st Street Suite A, HASKELL |
| State: | TX |
| Postal Code: | 795210938 |
| Phone Number: | 9408642636 |
| Fax Number: | 9408643009 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |