Provider Demographics
NPI:1942048772
Name:HAYWARD, BRE (EDD)
Entity type:Individual
Prefix:DR
First Name:BRE
Middle Name:
Last Name:HAYWARD
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15534 W HARDY RD STE 175
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3682
Mailing Address - Country:US
Mailing Address - Phone:888-508-8992
Mailing Address - Fax:832-201-5153
Practice Address - Street 1:15534 W HARDY RD STE 175
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3682
Practice Address - Country:US
Practice Address - Phone:888-508-8992
Practice Address - Fax:832-201-5153
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No374J00000XNursing Service Related ProvidersDoula
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education