Provider Demographics
NPI:1053716654
Name:BAIRD, HAILEY BRETTE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:BRETTE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 WINTER FALLS TRL
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-7449
Mailing Address - Country:US
Mailing Address - Phone:817-239-1583
Mailing Address - Fax:
Practice Address - Street 1:1727 CHUCKWA DR STE 100
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2151
Practice Address - Country:US
Practice Address - Phone:580-931-8848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical