Healthcare Provider Details

I. General information

NPI: 1073609905
Provider Name (Legal Business Name): PAULA YVETTE HAYES RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030
US

IV. Provider business mailing address

21351 MAPLE HARVEST LANE
HUMBLE TX
77338
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7313
  • Fax:
Mailing address:
  • Phone: 713-794-7313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number67292
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: