Individual
MRS. JAMIE ELIZABETH HAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 GALLERY CIR, STE 131, SAN ANTONIO, TX 78258-3327
(210) 490-5100
Mailing address
3327 CORAL GROVE DR, SAN ANTONIO, TX 78247-4821
(210) 823-4336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08066
TX
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306945201
—
TX
Enumeration date
08/28/2012
Last updated
01/23/2014
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