C DOYLE HAYNES MD PA - NPI 1841514445 - General Practice in Lufkin, TX

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About C Doyle Haynes Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C DOYLE HAYNES MD PA (NPI 1841514445) is a healthcare organization registered as a general practice in Lufkin, Texas and active in the NPI registry since March 2010. The organization lists Clarence Doyle Haynes, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1841514445

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameC DOYLE HAYNES MD PA

Location Address1105 W FRANK AVE, STE 290Lufkin, TX 75904-3303

Mailing Address1105 W Frank Ave, Ste 290Lufkin, TX 75904-3303 · (936) 699-5040 · Fax (936) 699-5044

Phone(936) 699-5040

Fax(936) 699-5044

Organization SubpartNo

Authorized OfficialClarence Doyle HaynesOwner/president · (936) 699-5040

Enumeration DateMarch 25, 2010

Last NPPES UpdateSeptember 10, 2010

✔ NPI 1841514445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · E3705

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1105 W FRANK AVE, Lufkin, TX 75904

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Other Identifiers 3

Medicaid212905801TX

Medicare PINTXB101412TX

OtherE3705TX · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP