Individual
ALLEN G HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
107 N GUN BARREL LN, GUN BARREL CITY, TX 75156-3724
(903) 887-1417
(903) 887-2358
Mailing address
PO BOX 242, MABANK, TX 75147-0242
(903) 887-1417
(903) 887-2358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001045601
—
TX
01
—
600765
BCBS
TX
Enumeration date
05/27/2006
Last updated
12/22/2011
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