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NPI Code Detail

MEDICARE: ALLEN HAYNES, D.C.,P.A.

MEDICARE: ALLEN HAYNES, D.C.,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
1111N00000XChiropractor4670TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10073RMOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1902054190
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEN HAYNES, D.C.,P.A.
Provider Business Mailing Address
First Line : 4012 SW GREEN OAKS BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-4113
Country : US
Telephone Number : 817-394-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4012 SW GREEN OAKS BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-4113
Country : US
Telephone Number : 817-394-2000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALLEN C HAYNES
Credential : D.C.
Telephone Number : 817-394-2000
Provider Enumeration Date : 09/03/2008
Last Update Date : 07/28/2011

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