Organization
C DOYLE HAYNES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE DOYLE HAYNES MD (OWNER/PRESIDENT)
(936) 699-5040
Entity
Organization
Contact information
Practice address
1105 W FRANK AVE, STE 290, LUFKIN, TX 75904-3303
(936) 699-5040
(936) 699-5044
Mailing address
1105 W FRANK AVE, STE 290, LUFKIN, TX 75904-3303
(936) 699-5040
(936) 699-5044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E3705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212905801
—
TX
01
—
E3705
LICENSE NUMBER
TX
Enumeration date
03/25/2010
Last updated
09/10/2010
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