Provider Demographics
NPI:1598005092
Name:HAYES, BARBARA KAY (APN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KAY
Last Name:HAYES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 AVENUE K
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-5128
Mailing Address - Country:US
Mailing Address - Phone:979-323-9752
Mailing Address - Fax:979-323-9757
Practice Address - Street 1:2205 AVENUE K
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-5128
Practice Address - Country:US
Practice Address - Phone:979-323-9752
Practice Address - Fax:979-323-9757
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX743923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8705NMOtherBCBS OF TEXAS
TX348994002Medicaid