Individual
PHILIP HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
7215 FAIRMONT PKWY, PASADENA, TX 77505-4601
(281) 487-0339
Mailing address
PO BOX 2291, FRIENDSWOOD, TX 77549-2291
(832) 694-5586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A066961
CA
207P00000X
Emergency Medicine Physician
Primary
K8206
TX
207P00000X
Emergency Medicine Physician
MD09556
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105449606
—
TX
Enumeration date
07/14/2006
Last updated
06/27/2019
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