MEDICARE: HAYLI JOINER

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	363AS0400X	Surgical Physician Assistant	PA13390	TX
2	363AS0400X	Surgical Physician Assistant	1503171	KS
3	363A00000X	Physician Assistant	PA13390	TX

General Provider Information

NPI Number	:	1912569278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLI JOINER

Provider Business Mailing Address
First Line	:	2215 NASHVILLE AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1105
Country	:	US
Telephone Number	:	806-725-5844
Fax Number	:	806-723-6531

Provider Business Practice Location Address
First Line	:	3506 21ST ST STE 602
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1234
Country	:	US
Telephone Number	:	806-725-4425
Fax Number	:

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

Provider Enumeration Date	:	07/07/2019
Last Update Date	:	07/02/2026

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Directions to “ HAYLI JOINER ” Practice Location

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