Provider Demographics
NPI:1114114279
Name:HEY, WAYNE D (DO)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:D
Last Name:HEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4809 BRENTWOOD STAIR RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-1737
Mailing Address - Country:US
Mailing Address - Phone:817-731-0316
Mailing Address - Fax:817-377-2081
Practice Address - Street 1:4809 BRENTWOOD STAIR RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103
Practice Address - Country:US
Practice Address - Phone:817-731-0316
Practice Address - Fax:817-377-2081
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2018-08-21
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Provider Licenses
StateLicense IDTaxonomies
TXN9713208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB134200Medicare Oscar/Certification