Haynes, Clarence Doyle

Haynes, Clarence Doyle is an individual health care provider with primary practice located at 818 W Frank Ave , Lufkin TX 75904-3317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Haynes, Clarence Doyle can be contacted via phone (936) 699-5040.

Contact Information

Primary practice address
818 W Frank Ave Lufkin TX 75904-3317
Phone: (936) 699-5040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E3705 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3705 Texas

Profile Details

NPI number 1457407363
LBN Legal business name Haynes, Clarence Doyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 16th, 2014 - about 11 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 1457407363 NPPES
Texas MEDICAID 139735827
Texas Other TXBE3705

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