Provider Demographics
NPI:1952511222
Name:HAYGOOD, DON WAYLON (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:WAYLON
Last Name:HAYGOOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2953
Mailing Address - Country:US
Mailing Address - Phone:469-441-0343
Mailing Address - Fax:214-818-0801
Practice Address - Street 1:2545 N FITZHUGH AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3317
Practice Address - Country:US
Practice Address - Phone:214-818-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor