Individual
DR. JACKIE ALLEN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1311
Mailing address
3551 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER MCHE-QD/ CREDENTIALS, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
12121
MS
207RP1001X
Pulmonary Disease Physician
Primary
N2560
TX
Other
Enumeration date
10/26/2005
Last updated
10/30/2019
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