Provider Demographics
NPI:1093549933
Name:BARNES, HADLEY SHAE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HADLEY
Middle Name:SHAE
Last Name:BARNES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HADLEY
Other - Middle Name:SHAE
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2350 N STEMMONS FWY STE F5500
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-2700
Mailing Address - Country:US
Mailing Address - Phone:214-456-2857
Mailing Address - Fax:214-456-5406
Practice Address - Street 1:2350 N STEMMONS FWY STE F5500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2700
Practice Address - Country:US
Practice Address - Phone:214-456-2857
Practice Address - Fax:214-456-5406
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1224487363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant