Provider Demographics
NPI:1265427272
Name:HAYS, SUSAN ELLEN (CRNA)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:ELLEN
Last Name:HAYS
Suffix:
Gender:F
Credentials:CRNA
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 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP107125367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088846309Medicaid
TX430032641OtherRR MEDICARE
TX83522UOtherBLUE CROSS BLUE SHIELD
TXP00225239OtherRAILROAD MEDICARE
TX088846304Medicaid
TX86163UOtherBCBS TAC HOU
TX088846305Medicaid
TX89273COtherBCBS
TX046161OtherRECERTIFICATION AANA
TX088846304Medicaid
TX89273COtherBCBS
TX088846305Medicaid
TX088846309Medicaid