MEDICARE: LOWELL BRADFORD HAYS M.D.

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	207R00000X	Internal Medicine Physician	J4196	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00106951	OTHER	TX	RAILROAD MEDICARE
5	TXB144557	OTHER	TX	MEDICARE/TARRANT COUNTY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639111511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOWELL BRADFORD HAYS M.D.

Provider Business Mailing Address
First Line	:	7575 SAN FELIPE ST STE 155
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1777
Country	:	US
Telephone Number	:	713-266-9955
Fax Number	:	713-266-9956

Provider Business Practice Location Address
First Line	:	7575 SAN FELIPE ST STE 155
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1777
Country	:	US
Telephone Number	:	713-266-9955
Fax Number	:	713-266-9956

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	07/21/2022

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