Provider Demographics
NPI:1730390980
Name:HAYES, GREGORY PATRICK (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:PATRICK
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 TRULA LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-6312
Mailing Address - Country:US
Mailing Address - Phone:713-724-5677
Mailing Address - Fax:
Practice Address - Street 1:1319 TRULA LN
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-6312
Practice Address - Country:US
Practice Address - Phone:713-724-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4464207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP2-0029765OtherINSTITUTIONAL PERMIT