Provider Demographics
NPI:1619535275
Name:HAYES, EMILY GABRIELLE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GABRIELLE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3408 GRAND OAK AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-9039
Mailing Address - Country:US
Mailing Address - Phone:806-353-6546
Mailing Address - Fax:
Practice Address - Street 1:4099 MCEWEN RD STE 550
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-5353
Practice Address - Country:US
Practice Address - Phone:972-632-6877
Practice Address - Fax:888-206-1272
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty