Individual
CYNTHIA J HANEY
Active
Individual
CYNTHIA J HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA03140
TX
363AS0400X
Surgical Physician Assistant
Primary
PA1528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505488
—
TN
01
—
8N3690
BCBS
TX
01
—
CC0589
MEDICARE RAILROAD
TN
01
—
P00077348
RAILROAD MEDICARE
TX
Enumeration date
06/14/2006
Last updated
11/26/2008
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