Individual
CAGER EATON HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 MEADOW RIDGE DR, ANNA, TX 75409-5292
(972) 924-7148
Mailing address
PO BOX 2653, MCKINNEY, TX 75070-8174
(402) 714-1857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
TX
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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