Basic Information
| Provider Information | |||||||||
| NPI: | 1396224416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAYMOND | ||||||||
| FirstName: | BRITNEY | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3460 RIVERSTONE CT APT 1323 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761160904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9154494529 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2620 LONG PRAIRIE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | FLOWER MOUND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750224953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722217900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2018 | ||||||||
| LastUpdateDate: | 08/09/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA12146 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.