MEDICARE: JAMES A HALEY M.D. P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	H9087	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8A2930	OTHER	TX	BC/BS
2	1831168632	OTHER	TX	NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063524098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES A HALEY M.D. P.A.

Provider Business Mailing Address
First Line	:	2817 S MAYHILL RD
Second Line	:	SUITE 120
City	:	DENTON
State	:	TX
Zip	:	76208-5966
Country	:	US
Telephone Number	:	940-382-0900
Fax Number	:	940-565-9969

Provider Business Practice Location Address
First Line	:	2817 S MAYHILL RD
Second Line	:	SUITE 120
City	:	DENTON
State	:	TX
Zip	:	76208-5966
Country	:	US
Telephone Number	:	940-382-0900
Fax Number	:	940-565-9969

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES A HALEY
Credential	:	M.D.
Telephone Number	:	940-382-0900

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/30/2010

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