# JOHN C HAIRSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669577532
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | L4417 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 05/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007524368 | AETNA | TX |
| 05 | — | 152994302 | — | TX |
| 01 | — | 4248755 | BLUE LINK | TX |
| 01 | — | 5472630 | CIGNA | TX |
| 01 | — | 8W5050 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | P000388708 | MEDICARE RAIL ROAD | TX |