Provider Demographics
NPI:1386413623
Name:RICH HASKETT MD PLLC
Entity type:Organization
Organization Name:RICH HASKETT MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:HASKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-776-4961
Mailing Address - Street 1:405 LONDONDERRY DR STE 312
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7922
Mailing Address - Country:US
Mailing Address - Phone:254-776-4961
Mailing Address - Fax:254-776-4964
Practice Address - Street 1:405 LONDONDERRY DR STE 312
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7922
Practice Address - Country:US
Practice Address - Phone:254-776-4961
Practice Address - Fax:254-776-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty