Healthcare Provider Details

I. General information

NPI: 1477516599
Provider Name (Legal Business Name): SHARLA HAYS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 MATLOCK RD SUITE 201
ARLINGTON TX
76015-2903
US

IV. Provider business mailing address

3120 MATLOCK RD SUITE 201
ARLINGTON TX
76015-2903
US

V. Phone/Fax

Practice location:
  • Phone: 817-467-0889
  • Fax: 817-557-4676
Mailing address:
  • Phone: 817-467-0889
  • Fax: 817-557-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM0751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: