Haley Heather, ATP
Technician, Other in Tyler, TX. Individual provider (NPI-1).
NPI number1477346138
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1477346138
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Haley Heather
- Credential
- ATP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2025
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 100138 | TX | Yes |
Other names
- Haley Baugh (Former Name)
Practice location
4413 Tyler Park Dr Ste ATyler, TX 75703-3123
Phone 903-592-3300 · Fax 888-633-7575
Mailing address
590 Cheryl StPilot Point, TX 76258-1547
Phone 870-692-1747
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