Provider Demographics
NPI:1407367329
Name:TERRY, HAYLEE (PA-C)
Entity Type:Individual
Prefix:
First Name:HAYLEE
Middle Name:
Last Name:TERRY
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 1:1709 BRAZOS TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6704
Mailing Address - Country:US
Mailing Address - Phone:214-738-1071
Mailing Address - Fax:
Practice Address - Street 1:211 E FM 544 STE 401
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4042
Practice Address - Country:US
Practice Address - Phone:972-200-3199
Practice Address - Fax:972-364-1925
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant