Provider Demographics
NPI:1205020427
Name:HAYES, LEO MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:MICHAEL
Last Name:HAYES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 GEMINI ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2703
Mailing Address - Country:US
Mailing Address - Phone:281-486-0111
Mailing Address - Fax:281-486-0170
Practice Address - Street 1:919 GEMINI ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2703
Practice Address - Country:US
Practice Address - Phone:281-486-0111
Practice Address - Fax:281-486-0170
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2486207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology