Doctor Name: | LAQUINTA HALEY |
NPI Number: | 1124273594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 449 Trinity Ave Port Arthur, TX - 776421335 |
Business Phone Number: | 4099821154 |
Business Fax Number: | |
Mailing Address: | Po Box 46, PORT ARTHUR |
State: | TX |
Postal Code: | 776410046 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |