Organization
SHARON R. HAYNES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RENA HAYNES (OWNER)
(214) 586-8430
Entity
Organization
Contact information
Practice address
9805 WALNUT ST., C-106, DALLAS, TX 75243-2844
(214) 586-8430
Mailing address
9805 WALNUT ST., C-106, DALLAS, TX 75243-2844
(214) 586-8430
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
640659
TX
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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