Organization Active NPI

C. Doyle Haynes, MD, PLLC

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1619253424
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3705 Issued in TX
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

Updated by the provider on Apr 11, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.