Provider Demographics
NPI:1871733188
Name:HALEY, CLINTON CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:CHRISTOPHER
Last Name:HALEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3409 WORTH ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2029
Mailing Address - Country:US
Mailing Address - Phone:214-823-2533
Mailing Address - Fax:214-824-8679
Practice Address - Street 1:3409 WORTH ST
Practice Address - Street 2:SUITE 710
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2029
Practice Address - Country:US
Practice Address - Phone:214-823-2533
Practice Address - Fax:214-824-8679
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL6415207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease