Organization
VERNON J HAYES,D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON J HAYES D.O. (PRESIDENT)
(817) 731-3936
Entity
Organization
Contact information
Practice address
2600 MONTGOMERY ST, FORT WORTH, TX 76107-4525
(817) 731-3936
(817) 782-0206
Mailing address
2600 MONTGOMERY ST, FORT WORTH, TX 76107-4525
(817) 731-3936
(817) 782-0206
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E7973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096QR
BLUE CROSS BLUE SHIELD
TX
01
—
10028507
AMERIGROUP/TEXAS MEDICAID
TX
01
—
1050662T
COVENTRY HEALTH
TX
05
—
1155103 01
—
TX
01
—
81X170
BLUE CROSS BLUE SHILED
TX
Enumeration date
07/11/2008
Last updated
07/14/2008
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