| Doctor Name: | DR. WILLIAM WAYNE HAIRSTON |
| NPI Number: | 1295744399 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | E5773 |
| Business Practice Address: | 932 N University Dr Nacogdoches, TX - 759614643 |
| Business Phone Number: | 9365641188 |
| Business Fax Number: | 9365604137 |
| Mailing Address: | 932 N University Dr, NACOGDOCHES |
| State: | TX |
| Postal Code: | 759614643 |
| Phone Number: | 9365641188 |
| Fax Number: | 9365604137 |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E5773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |