Provider Demographics
NPI:1316263312
Name:HALEY, LINDSEY ALISON (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ALISON
Last Name:HALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6809 KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3150
Mailing Address - Country:US
Mailing Address - Phone:214-733-0515
Mailing Address - Fax:
Practice Address - Street 1:3611 SWISS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6245
Practice Address - Country:US
Practice Address - Phone:214-879-8585
Practice Address - Fax:214-879-8583
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX438023ZQKQMedicare PIN