Provider Demographics
NPI:1255331435
Name:HAY, JAMES P (PNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:P
Last Name:HAY
Suffix:
Gender:M
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3148 FM 66
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75167-8406
Mailing Address - Country:US
Mailing Address - Phone:972-935-1302
Mailing Address - Fax:972-935-1302
Practice Address - Street 1:1710 W HIGHWAY 287 BUSINESS STE 100
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4733
Practice Address - Country:US
Practice Address - Phone:972-937-1221
Practice Address - Fax:972-937-8934
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551381363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163721701Medicaid