MEDICARE: L D HAYES DPM & ASSOCIATES PA

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	213ES0103X	Foot & Ankle Surgery Podiatrist		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134304538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L D HAYES DPM & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	1312 14TH ST STE 101
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6206
Country	:	US
Telephone Number	:	214-210-2911
Fax Number	:	214-210-2209

Provider Business Practice Location Address
First Line	:	1312 14TH ST STE 101
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6206
Country	:	US
Telephone Number	:	214-210-2911
Fax Number	:	214-210-2209

Authorized Official
Title or Position	:	OFFICE / BILLING MANAGER
Name	:	MRS. SAMANTHA L MOLINA
Credential	:
Telephone Number	:	972-248-3191

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	05/09/2022

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