Dr William Wayne Hairston, DO | |
1002 N Mound St, Nacogdoches, TX 75961-4437 | |
(936) 560-3800 | |
(936) 560-0102 |
Full Name | Dr William Wayne Hairston |
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Gender | Male |
Speciality | Family Medicine |
Location | 1002 N Mound St, Nacogdoches, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295744399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E5773 (Texas) | Primary |
Entity Name | Nacogdoches County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053711804 PECOS PAC ID: 0446151328 Enrollment ID: O20040608000604 |
Entity Name | Lion Star Nacogdoches Hospital, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316616550 PECOS PAC ID: 3971992082 Enrollment ID: O20211207001844 |
Mailing Address | Practice Location Address |
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Dr William Wayne Hairston, DO 1204 N Mound St, Nacogdoches, TX 75961-4027 Ph: (936) 568-8425 | Dr William Wayne Hairston, DO 1002 N Mound St, Nacogdoches, TX 75961-4437 Ph: (936) 560-3800 |
Rachel L Cline, Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. Laxman R Kalvakuntla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Waterford Dr, Nacogdoches, TX 75965 Phone: 936-645-1044 Fax: 936-205-1328 | |
Eric A Cline, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Bryan W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 129 Creekbend Blvd, Nacogdoches, TX 75965 Phone: 936-205-5949 Fax: 936-205-5953 | |
Dr. Carl Alexander Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-4155 Fax: 936-305-4156 | |
Dr. Edwin Concerman Emborgo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 N Mound St, Suite A, Nacogdoches, TX 75961 Phone: 936-564-2691 Fax: 713-634-2636 |