Individual
HALEY LOUISE MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1128 MEDICAL DR, TYLER, TX 75701-2109
(903) 593-8273
(903) 595-0204
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598168619
—
TX
01
—
6K2045
MEDICARE PTAN
TX
Enumeration date
10/02/2014
Last updated
03/12/2024
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