| Organization Name: | CHARLES W CADENHEAD M D |
| NPI Number: | 1245491026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES WAYNE CADENHEAD (OWNER) |
| Mailing Address: | 1417 North 1st St Suite A Haskell |
| State: | TX US |
| Postal Code: | 795210938 |
| Phone Number: | 9408642636 |
| Fax Number: | 9408643009 |
| NPI Enumeration Date: | 06/24/2008 |
| NPI Last Update Date: | 10/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | E4241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |