Individual
DR. COREY JAY HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4640 N LOOP 289, LUBBOCK, TX 79416-2423
(806) 794-1223
(806) 589-0216
Mailing address
PO BOX 98046, LUBBOCK, TX 79499-8046
(806) 794-1223
(806) 589-0216
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H8102
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H8102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134942-03
—
TX
Enumeration date
02/09/2007
Last updated
11/12/2010
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