Healthcare Provider Details

I. General information

NPI: 1669095295
Provider Name (Legal Business Name): HAILEY WANG DRISCOLL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FM 685 STE 600
PFLUGERVILLE TX
78660-7095
US

IV. Provider business mailing address

6034 W COURTYARD DR STE 110
AUSTIN TX
78730-5064
US

V. Phone/Fax

Practice location:
  • Phone: 512-808-0190
  • Fax:
Mailing address:
  • Phone: 512-809-6516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU5947
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: