Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DEN-8636 | CO |
Y | 204E00000X | Oral & Maxillofacial Surgeon | DEN-8636 | CO |
NPI | 1588876940 |
---|---|
Provider Name | Dr. Curtis J. Hayes |
First Address | San Antonio, TX 78251-1733 |
Second Address | Lackland A F B, TX 78236-5345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 13/07/2007 |