Individual
JOHN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH STREET, SUITE 4B174, LUBBOCK, TX 79430-9406
(806) 743-7337
(806) 743-4218
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N2546
TX
Other
Enumeration date
08/21/2007
Last updated
05/16/2019
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