Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 9415 | TX |
NPI | 1013037829 |
---|---|
Provider Name | Wesley Hay |
First Address | Stephenville, TX 76401-1701 |
Second Address | Stephenville, TX 76401-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |