Healthcare Provider Details

I. General information

NPI: 1043260656
Provider Name (Legal Business Name): DAVID THEODORE HAYES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TED HAYES M.D.

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5012 S US HIGHWAY 75 SUITE 300
DENISON TX
75020-4587
US

IV. Provider business mailing address

5012 S US HIGHWAY 75 STE 300 ATTN BILLING
DENISON TX
75020-4589
US

V. Phone/Fax

Practice location:
  • Phone: 903-416-6200
  • Fax: 903-416-6201
Mailing address:
  • Phone: 903-416-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4469-320
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35237
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0100984
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH1373
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: