Individual
DR. JOHNNY LEE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 S LOOP, 256, PALESTINE, TX 75801
(903) 731-1143
Mailing address
PO BOX 54038, NEW ORLEANS, LA 70154-4038
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G4850
TX
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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