Provider Demographics
NPI:1013942424
Name:HAYS, JAMES BLAIR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BLAIR
Last Name:HAYS
Suffix:
Gender:M
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:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-0878
Mailing Address - Country:US
Mailing Address - Phone:325-646-2523
Mailing Address - Fax:325-646-7141
Practice Address - Street 1:2502 CROCKETT DR
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5900
Practice Address - Country:US
Practice Address - Phone:325-643-5521
Practice Address - Fax:325-643-2647
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4147208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L16222Medicare PIN