Healthcare Provider Details

I. General information

NPI: 1053329177
Provider Name (Legal Business Name): CRAIG HAROLD HAYES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 S YALE AVE STE. 110
TULSA OK
74136-3311
US

IV. Provider business mailing address

6717 S YALE AVE STE. 110
TULSA OK
74136-3311
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-0087
  • Fax: 918-496-0952
Mailing address:
  • Phone: 918-492-0087
  • Fax: 918-496-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3373
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: