Provider Demographics
NPI:1982647327
Name:HAYS, CHRISTOPHER DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:HAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:D
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,PA
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0435207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX45D0856043OtherCLIA NUMBER
TX110032055OtherRAILROAD NUMBER
TX00D53TOtherBLUE CROSS NUMBER
TX114396803Medicaid
TX114396803Medicaid
TX00D53TOtherBLUE CROSS NUMBER
TX114396803Medicaid