Organization
JULIE T HAYGOOD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE T HAYGOOD M.D. (OWNER)
(906) 360-2109
Entity
Organization
Contact information
Practice address
3131 TROUP HWY, TYLER, TX 75701-8350
(903) 360-2109
(903) 561-5576
Mailing address
PO BOX 6984, TYLER, TX 75711-6984
(903) 360-2109
(903) 561-5576
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
L7749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098LZ
BCBS
TX
05
—
170200301
—
TX
01
—
DD1178
RAILROAD MEDICARE
TX
Enumeration date
10/11/2006
Last updated
02/17/2020
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