Individual
STEVEN A HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W COLORADO BLVD, PAVILION II SUITE 831, DALLAS, TX 75208-5300
(214) 933-7430
(214) 947-8609
Mailing address
221 W COLORADO BLVD, PAVILION II SUITE 831, DALLAS, TX 75208-5300
(214) 933-7430
(214) 947-8609
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E0951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032992202
—
TX
01
—
060064589
RR MEDICARE
—
01
—
8029M1
BCBS
—
Enumeration date
07/14/2006
Last updated
10/27/2021
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