Active NPI
C. Doyle Haynes, MD, PLLC
- Family Medicine Physician
- Lufkin, TX
National Provider Identifier
1619253424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3705
- Legal business name
- C. DOYLE HAYNES, MD, PLLC
- Practice address
- 818 W Frank Ave
Lufkin, TX 75904-3317 - Phone
- (936) 699-5040
- Fax
- (936) 699-5039
- NPI assigned
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clarence Doyle Haynes, MD
- Title
- Officer
- Phone
- (936) 699-5040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3705 | TX | Primary |
Addresses
Primary practice location
818 W Frank Ave
Lufkin, TX 75904-3317
Mailing address
818 W Frank Ave
Lufkin, TX 75904-3317
Phone (936) 699-5040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397174400000",
"number": "1619253424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043317",
"telephone_number": "936-699-5040",
"fax_number": "936-699-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043317",
"telephone_number": "936-699-5040",
"fax_number": "936-699-5039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C. DOYLE HAYNES, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2014-04-11",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "CLARENCE",
"authorized_official_middle_name": "DOYLE",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "936-699-5040",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "E3705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.