MEDICARE: COURTNEY ELIZABETH HAYDEN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14590	TX

General Provider Information

NPI Number	:	1326625492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ELIZABETH HAYDEN DC

Provider Business Mailing Address
First Line	:	4645 PLANO PKWY APT 10206
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4940
Country	:	US
Telephone Number	:	256-541-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	4645 PLANO PKWY APT 10206
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4940
Country	:	US
Telephone Number	:	256-541-6050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	03/25/2021

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