Provider Demographics
NPI:1700504131
Name:HAYES, ARLIE PAUL II
Entity Type:Individual
Prefix:MR
First Name:ARLIE
Middle Name:PAUL
Last Name:HAYES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 S BIRCH PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-5315
Mailing Address - Country:US
Mailing Address - Phone:918-576-1194
Mailing Address - Fax:
Practice Address - Street 1:826 S BIRCH PL
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-5315
Practice Address - Country:US
Practice Address - Phone:918-576-1194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator