Haynes, Sergio Edward

Haynes, Sergio Edward is an individual health care provider with primary practice located at 2730 Sw Wilshire Blvd , Burleson TX 76028-8338. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Haynes, Sergio Edward can be contacted via phone (817) 916-5180.

Contact Information

Primary practice address
2730 Sw Wilshire Blvd Burleson TX 76028-8338
Phone: (817) 916-5180
Fax: (817) 916-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA06243 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06243 Texas

Profile Details

NPI number 1528391901
LBN Legal business name Haynes, Sergio Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Feb 19th, 2022 - about 2 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 1528391901 NPPES
Texas Other 842N29 BCBS
Texas MEDICAID 211072801 BCBS
Texas Other 211072802 BCBS
Texas MEDICAID 211072803 BCBS

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