Provider Demographics
NPI:1104604982
Name:HEARNE, HALEY (MPH)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:HEARNE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6719 W MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3105
Mailing Address - Country:US
Mailing Address - Phone:832-393-0068
Mailing Address - Fax:
Practice Address - Street 1:6719 W MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3105
Practice Address - Country:US
Practice Address - Phone:832-393-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator