Provider Demographics
NPI:1629389788
Name:CHRIS D HAYS MD PA
Entity Type:Organization
Organization Name:CHRIS D HAYS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-422-8025
Mailing Address - Street 1:1310 MASSEY TOMPKINS RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4326
Mailing Address - Country:US
Mailing Address - Phone:281-422-8025
Mailing Address - Fax:281-422-2001
Practice Address - Street 1:1310 MASSEY TOMPKINS RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4326
Practice Address - Country:US
Practice Address - Phone:281-422-8025
Practice Address - Fax:281-422-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0435207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114396803Medicaid
TX00D53TMedicare PIN
TX114396803Medicaid