Search › Texas › 363A00000X
Dallas Hakes, PA-C
NPI 1669152328 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5762 Grandscape Blvd Ste 115
The Colony, TX 75056 - Phone
- (469) 647-9344
- Organisation at this address
- Fountain Life Dallas, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas