Provider Demographics
NPI:1194994475
Name:GARY G. HAYS INC.
Entity type:Organization
Organization Name:GARY G. HAYS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-323-4141
Mailing Address - Street 1:PO BOX 907
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-0907
Mailing Address - Country:US
Mailing Address - Phone:580-323-4141
Mailing Address - Fax:580-323-5065
Practice Address - Street 1:540 S 30TH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3631
Practice Address - Country:US
Practice Address - Phone:580-323-4141
Practice Address - Fax:580-323-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7568207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty