Provider Demographics
NPI:1649800277
Name:ORR, HAILEY MICHAELA (PA)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:MICHAELA
Last Name:ORR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8055 WINDROSE AVE APT 3221
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0281
Mailing Address - Country:US
Mailing Address - Phone:337-852-5341
Mailing Address - Fax:
Practice Address - Street 1:1820 PRESTON PARK BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3716
Practice Address - Country:US
Practice Address - Phone:832-655-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8PX9617OtherBCBS - US MSO
TXPA13304OtherTEXAS MEDICAL BOARD
TX8MK533OtherBCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX8MG393OtherBCBS - UNIVERSAL SURGICAL ASSISTANTS
TX8MG394OtherBCBS - UNIVERSAL SURGICAL PARTNERS INC
TX8MK534OtherBCBS - XCITE SURGICAL