Healthcare Provider Details
I. General information
NPI: 1831455161
Provider Name (Legal Business Name): HAYLEY ADRIENNE FRIEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/11/2012
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7777 FOREST LN
DALLAS TX
75230-2571
US
IV. Provider business mailing address
1121 E SPRING CREEK PKWY. STE. 110, #319
PLANO TX
75074
US
V. Phone/Fax
- Phone: 214-343-6663
- Fax:
- Phone: 214-343-6663
- Fax: 214-343-2814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | V9601 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 2018009088 |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 2018009088 |
| License Number State | MO |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | V9601 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: