Haynes, Theodore David
Haynes, Theodore David is an sole proprietor health care provider with primary practice located at 1600 11Th St Dept. Anesthesia, Wichita Falls TX 76301-4300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Haynes, Theodore David can be contacted via phone (940) 764-3390.Contact Information
Primary practice address
1600 11Th St Dept. Anesthesia
Wichita Falls TX 76301-4300
Phone: (940) 764-3390
Fax: (940) 764-3391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 549839 | Texas |
Profile Details
| NPI number | 1144294158 |
|---|---|
| LBN Legal business name | Haynes, Theodore David |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Nov 19th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144294158 | NPPES |
| Texas | Other | 86602U | BCBSTX |
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