IndividualActive
Jaime Haidenberg, MD
NPI 1417506296 · Plastic Surgery Physician · Plano, TX
Provider details
- NPI number
- 1417506296
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M8697 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4100 W 15th St
Plano, TX 75093-5803
Phone: (972) 985-7474
Approximate (ZIP-level) locationGet directions
Mailing address
4100 W 15th St
Plano, TX 75093-5803
Registry dates
- Enumerated
- 2019-09-05
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.