Provider Demographics
NPI:1891264743
Name:HAYS, TANNER LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:TANNER
Middle Name:LEE
Last Name:HAYS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16637 OLD JACKSONVILLE HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703
Mailing Address - Country:US
Mailing Address - Phone:903-405-3300
Mailing Address - Fax:903-405-3301
Practice Address - Street 1:16637 OLD JACKSONVILLE HWY
Practice Address - Street 2:SUITE D
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703
Practice Address - Country:US
Practice Address - Phone:903-405-3300
Practice Address - Fax:903-405-3301
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor