Individual
HAILEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 618-1888
(254) 519-5264
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18219
TX
Other
Enumeration date
03/22/2024
Last updated
11/05/2024
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