Individual
MS. BRENDA LYNN HAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6042
(318) 841-1746
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6042
(318) 841-1746
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1019795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019795
PA CERTIFICATION
LA
Enumeration date
09/01/2006
Last updated
07/08/2007
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