Individual
NEAL GREGORY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 560-1190
(936) 560-1823
Mailing address
625 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 560-1190
(936) 560-1823
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
N2561
TX
Other
Enumeration date
04/13/2007
Last updated
08/23/2013
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