Individual
JOHN C HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16659 SOUTHWEST FWY, SUITE 225, SUGAR LAND, TX 77479-2375
(281) 313-7878
(281) 313-7880
Mailing address
16659 SOUTHWEST FWY, SUITE 225, SUGAR LAND, TX 77479-2375
(281) 313-7878
(281) 313-7880
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L4417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007524368
AETNA
TX
05
—
152994302
—
TX
01
—
4248755
BLUE LINK
TX
01
—
5472630
CIGNA
TX
01
—
8W5050
BLUE CROSS BLUE SHIELD
TX
01
—
P000388708
MEDICARE RAIL ROAD
TX
Enumeration date
09/14/2006
Last updated
05/08/2008
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