Individual
MS. DONNA J. HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
511 S HOUSTON ST, EDGEWOOD, TX 75117-3113
(903) 896-3333
(903) 896-3334
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
538593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152560202
—
TX
05
—
152560203
—
TX
01
—
890001104
RAIL ROAD
TX
01
—
8N2957
BLUE CROSS BLUE SHIELD
TX
01
—
8N3132
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/03/2006
Last updated
07/09/2007
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