Healthcare Provider Details

I. General information

NPI: 1497891568
Provider Name (Legal Business Name): HAYES & FYDA MDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 DOUBLE DIAMOND PKWY STE 100
RENO NV
89521-5844
US

IV. Provider business mailing address

9480 DOUBLE DIAMOND PKWY STE 100
RENO NV
89521-5844
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-1600
  • Fax: 775-786-7706
Mailing address:
  • Phone: 775-786-1600
  • Fax: 775-786-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS M FYDA
Title or Position: PRESIDENT
Credential:
Phone: 775-786-1600