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NPI Code Detail

MEDICARE: EMILY HAYNIE PA-C

MEDICARE:   EMILY  HAYNIE  PA-C
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
1363A00000XPhysician AssistantPA08383TX

General Provider Information

NPI Number : 1174877575
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HAYNIE PA-C
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 214-645-8800
Fax Number : 214-645-9222
Provider Business Practice Location Address
First Line : UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-2134
Country : US
Telephone Number : 214-645-8800
Fax Number : 214-645-9222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2012
Last Update Date : 09/05/2021

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Directions to “ EMILY HAYNIE PA-C” Practice Location

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