Individual
DR. RUSSELL A HAYHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W 38TH ST, STE 303, AUSTIN, TX 78705-1163
(512) 452-8467
(512) 452-8440
Mailing address
901 W 38TH ST, STE 303, AUSTIN, TX 78705-1163
(512) 452-8467
(512) 452-8440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H9216
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
H9216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154994101
—
TX
01
—
180046326
RAILROAD MEDICARE
TX
01
—
3471181
CIGNA
TX
01
—
4494050
AETNA
TX
01
—
8AB070
BCBS
TX
Enumeration date
09/14/2005
Last updated
04/17/2017
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