Provider Demographics
NPI:1164586830
Name:HAYS, GARY LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:LYNN
Last Name:HAYS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 S 30TH ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-3631
Mailing Address - Country:US
Mailing Address - Phone:580-323-4141
Mailing Address - Fax:580-323-5065
Practice Address - Street 1:540 S 30TH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3631
Practice Address - Country:US
Practice Address - Phone:580-323-4141
Practice Address - Fax:580-323-5065
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2095207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE09761Medicare UPIN