Haggard, Corey Jay

Haggard, Corey Jay is an sole proprietor health care provider with primary practice located at 4640 N Loop 289 , Lubbock TX 79416-2423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Haggard, Corey Jay can be contacted via phone (806) 794-1223.

Contact Information

Primary practice address
4640 N Loop 289 Lubbock TX 79416-2423
Phone: (806) 794-1223
Fax: (806) 589-0216
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H8102 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X H8102 Texas

Profile Details

NPI number 1053452151
LBN Legal business name Haggard, Corey Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Nov 12th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053452151 NPPES
Texas MEDICAID 1134942-03

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