Individual
DR. AMAHA HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 I-30 BOX, MEQUITE, TX 75185-1672
(972) 698-3300
Mailing address
18012 BENCHMARK DR, DALLAS, TX 75252-8134
(817) 680-1896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K9557
TX
207Q00000X
Family Medicine Physician
Primary
K9557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016GU
BCBS
TX
Enumeration date
07/24/2006
Last updated
03/18/2015
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