Provider Demographics
NPI:1518900554
Name:HAYS, WILLIAM ANTHONY (MD, LAT, PES)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:HAYS
Suffix:
Gender:M
Credentials:MD, LAT, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 TACOMA ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7238
Mailing Address - Country:US
Mailing Address - Phone:817-721-9241
Mailing Address - Fax:
Practice Address - Street 1:2801 LEMMON AVE STE 400
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2399
Practice Address - Country:US
Practice Address - Phone:214-303-1033
Practice Address - Fax:214-303-1032
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-9484207Q00000X
TXAT17112255A2300X
TXR3857207Q00000X
AR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAT1711OtherATHLETIC TRAINER