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Individual
SERGIO EDWARD HAYNES
Active
Individual
SERGIO EDWARD HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06243
TX
363AS0400X
Surgical Physician Assistant
PA06243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211072801
—
TX
01
—
211072802
CSHCN
TX
05
—
211072803
—
TX
01
—
842N29
BCBS
TX
Enumeration date
09/16/2009
Last updated
02/19/2022
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