Provider Demographics
NPI:1093323164
Name:HUGHES, HAYLEE ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HAYLEE
Middle Name:ELIZABETH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 WEMBLEY WOOD LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6113
Mailing Address - Country:US
Mailing Address - Phone:469-834-3500
Mailing Address - Fax:
Practice Address - Street 1:200 WESTPARK WAY
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3963
Practice Address - Country:US
Practice Address - Phone:817-488-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA13710363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant