Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | D4147 | TX |
NPI | 1013942424 |
---|---|
Provider Name | James Blair Hays |
First Address | Brownwood, TX 76804-0878 |
Second Address | Brownwood, TX 76801-5900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 19/11/2009 |