Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hayden O Jack, MD

Individual provider Diagnostic Radiology Physician · NPI 1093795338

Hayden O Jack, MD is a Diagnostic Radiology in Fort Worth, Texas. Graduated from Howard University College of Medicine in 1995, 31 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group. Licensed in Florida, Texas and Virginia.

Years since qualifying
31
Trained at
Howard University College of Medicine
Licensed in
FL, TX, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone: (817) 321-0387
Fax: (469) 522-6889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M8054 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101054381 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME 113022 (FL)

Record details

NPI number1093795338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2006
Last updated in NPPESApril 28, 2017
Mailing address816 W Cannon St, Fort Worth, TX 76104-3146

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated

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