Provider Demographics
NPI:1851429757
Name:HAYES, ERICA JEAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:JEAN
Last Name:HAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4A BAYOU BRANDT
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-2612
Mailing Address - Country:US
Mailing Address - Phone:409-347-7262
Mailing Address - Fax:409-347-8223
Practice Address - Street 1:4A BAYOU BRANDT
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2612
Practice Address - Country:US
Practice Address - Phone:409-347-7262
Practice Address - Fax:409-347-8223
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL23092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1851429757OtherINDIVIDUAL NPI
TX1376985820OtherNPI