Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | L2929 | TX |
NPI | 1013992940 |
---|---|
Provider Name | Michael T Hay |
First Address | Graham, TX 76450-4240 |
Second Address | Graham, TX 76450-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 08/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
171185501 | (05) | TX |
I16289 | (02) | TX |