Provider Demographics
NPI:1629259544
Name:DAVID A HAYMES MD PA
Entity Type:Organization
Organization Name:DAVID A HAYMES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAYMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-233-5651
Mailing Address - Street 1:12830 HILLCREST AVE #216 D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1548
Mailing Address - Country:US
Mailing Address - Phone:972-233-5651
Mailing Address - Fax:972-233-0960
Practice Address - Street 1:12830 HILLCREST AVE #216 D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1548
Practice Address - Country:US
Practice Address - Phone:972-233-5651
Practice Address - Fax:972-233-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U35ZMedicare PIN